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HONOLULU, HI
NPI1699914838
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: HI  153)
Enumeration Date2009-02-11
Last Update Date2009-02-11
Business Address
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1909 ALA WAI BLVD
HONOLULU, HI 96815-1817
Phone number: 808-391-7875
Mailing Address
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1909 ALA WAI BLVD
HONOLULU, HI 96815-1817
Phone number: 808-391-7875