Individual
MARY A COCCETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
411 HUKU LII PL, 302, KIHEI, HI 96753-7062
(808) 891-1411
Mailing address
2430 S KIHEI RD, APT 602, KIHEI, HI 96753-9672
(808) 879-4191
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3348
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25903
HMSA PROVIDER #
HI
Enumeration date
09/09/2013
Last updated
02/06/2021
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