Individual
DONNA L SHOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
78-123 HOLUAKAI ST, KAILUA KONA, HI 96740-2596
(808) 365-2536
Mailing address
78-123 HOLUAKAI ST, KAILUA KONA, HI 96740-2596
(808) 365-2536
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1210
AK
1041C0700X
Clinical Social Worker
Primary
3953
HI
Other
Enumeration date
06/09/2012
Last updated
05/14/2022
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