JAY CASUPANG ALCISTO

HONOLULU, HI
NPI1326217241
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: HI  3750)
Enumeration Date2008-02-25
Last Update Date2013-07-19
Business Address
Mr. JAY CASUPANG ALCISTO LCSW
459 PATTERSON RD # 116
HONOLULU, HI 96819-1522
Phone number: 808-433-0778
Mailing Address
Mr. JAY CASUPANG ALCISTO LCSW
459 PATTERSON RD # 116
HONOLULU, HI 96819-1522
Phone number: 808-433-0778