Individual
MARY LUCIA GARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-6661
Mailing address
92-651 MEHANI ST, KAPOLEI, HI 96707-1158
(808) 286-3094
(808) 672-7446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3145
HI
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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