FREDERICA MABEL BANNING

HONOLULU, HI
NPI1568024032
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: HI  LCSW-4400)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: VA  0904000745)
Enumeration Date2019-07-03
Last Update Date2019-07-03
Business Address
FREDERICA MABEL BANNING
3431 CAMPBELL AVE APT A
HONOLULU, HI 96815-6120
Phone number: 808-436-1652
Mailing Address
FREDERICA MABEL BANNING
3431 CAMPBELL AVE APT A
HONOLULU, HI 96815-6120
Phone number: 808-436-1652