Individual
MS. LESLEY ADACHI STAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
45-1155 MAKAMAE ST, KANEOHE, HI 96744-3122
(808) 306-0629
Mailing address
45-1155 MAKAMAE ST, KANEOHE, HI 96744-3122
(808) 306-0629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3488
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
LICENSED CLINICAL SOCIAL WORKER
HI
Enumeration date
09/30/2008
Last updated
09/30/2008
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