Individual
MELISSA DATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 N KING ST, HONOLULU, HI 96817-4544
(808) 848-1438
(808) 843-7270
Mailing address
915 N KING ST, HONOLULU, HI 96817-4544
(808) 848-1438
(808) 843-7270
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 3593
HI
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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