Organization
WESLEY Y. TAIRA LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY Y TAIRA LCSW (LCSW/OWNER)
(808) 738-6502
Entity
Organization
Contact information
Practice address
94-702 LUMIAUAU ST, UNIT P6, WAIPAHU, HI 96797-5613
(808) 738-6502
Mailing address
94-702 LUMIAUAU ST, UNIT P6, WAIPAHU, HI 96797-5613
(808) 738-6502
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3964
HI
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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