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1740319177
SUSAN C SICKORA
KAILUA, HI
NPI
1740319177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: HI RN26584)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
-- SUSAN C SICKORA CSAC
970 N KALAHEO AVE SUITE A102
KAILUA, HI 96734-1801
Phone number: 808-254-6484
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Mailing Address
-- SUSAN C SICKORA CSAC
820 MILILANI ST STE 702A
HONOLULU, HI 96813-2918
Phone number: 808-523-9363
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