Individual
MR. CHAD WATANABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 655-9121
Mailing address
91-211 HILUHILU PL, KAPOLEI, HI 96707-1918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-4286
HI
Other
Enumeration date
12/16/2018
Last updated
09/28/2023
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