Individual
JULIET MIYAGISHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(415) 999-7591
Mailing address
2 S PARK, UNIVERSAL CITY, TX 78148-5478
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3931
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3931
ASWB
HI
Enumeration date
10/10/2017
Last updated
03/17/2018
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