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Organization
JOHN MASCARO PHD
Active
Organization
JOHN MASCARO PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MASCARO PH.D. (PRESIDENT)
(808) 226-7576
Entity
Organization
Contact information
Practice address
65-1231 OPELO RD STE 4, KAMUELA, HI 96743-8376
(808) 226-7576
(808) 356-0200
Mailing address
PO BOX 384646, WAIKOLOA, HI 96738-4646
(808) 226-7576
(808) 356-0200
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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