Individual
MR. LYDELL CHRISTOPHER FABIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
98-459 HOOKANIKE ST APT 65, PEARL CITY, HI 96782-2350
(808) 358-1981
Mailing address
98-459 HOOKANIKE ST. APT 65, PEARL CITY, HI 96782-0001
(808) 358-1981
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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