THEODORE IRELAND

HILO, HI
NPI1467768606
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: HI  4012)
Additional Taxonomies104100000X Social Worker
Enumeration Date2010-08-25
Last Update Date2017-02-16
Business Address
-- THEODORE IRELAND
622 HINANO ST
HILO, HI 96720-4427
Phone number: 808-238-4771
Mailing Address
-- THEODORE IRELAND
67 TODD AVE
HILO, HI 96720-4848
Phone number: 808-238-4771
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