GLEN WONG

WAIANAE, HI
NPI1356418859
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
-- GLEN WONG csac
86-226 FARRINGTON HIGHWAY
WAIANAE, HI 96792-3128
Phone number: 808-696-4211
Mailing Address
-- GLEN WONG csac
86-226 FARRINGTON HWY
WAIANAE, HI 96792-3128
Phone number: 808-696-4211
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