Organization
MICHELLE BIRDSALL, LLC
Active
Other names
Michelle Birdsall, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BIRDSALL (OWNER)
(808) 383-3764
Entity
Organization
Contact information
Practice address
91-110 HANUA ST STE 208A, KAPOLEI, HI 96707-1742
(808) 383-3764
(888) 610-7695
Mailing address
91-110 HANUA ST STE 208A, KAPOLEI, HI 96707-1742
(808) 383-3764
(888) 610-7695
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
632720
—
HI
Enumeration date
12/01/2023
Last updated
12/03/2023
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