Individual
TALIESIN SUMNER-LONGBOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
RR 3 BOX 81766, PAHOA, HI 96778-0284
(808) 481-7283
Mailing address
RR 3 BOX 81766, PAHOA, HI 96778-0284
(808) 481-7283
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
05/22/2024
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