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Individual

MR. DANIEL EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, MPA

Contact information

Practice address
75-374 NANI KAILUA DR, KAILUA KONA, HI 96740-1936
(808) 557-1962
(808) 443-0026
Mailing address
75-374 NANI KAILUA DR, KAILUA KONA, HI 96740-1936
(808) 557-1962
(808) 443-0026

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016604
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149.016604
IL
01
HI-4292
LCSW
HI
Enumeration date
04/28/2014
Last updated
05/14/2022
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