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1508885500
TRACIE L. TAKESHITA
HONOLULU, HI
NPI
1508885500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: HI PSY 912)
Enumeration Date
2006-07-19
Last Update Date
2013-08-13
Business Address
Dr. TRACIE L. TAKESHITA Psy.D.
1601 PUNAHOU ST
HONOLULU, HI 96822-3336
Phone number: 808-944-5711
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Mailing Address
Dr. TRACIE L. TAKESHITA Psy.D.
1601 PUNAHOU ST
HONOLULU, HI 96822-3336
Phone number: 808-944-5711
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