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Individual

HOWARD TIMOTHY BALDWIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LCSW, DCSW

Contact information

Practice address
213 ULULANI ST, HILO, HI 96720-2628
(808) 961-2811
Mailing address
PO BOX 11121, HILO, HI 96721-6121
(808) 961-2811

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3146
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000230557
HMSA-QUEST PLAN
01
023055-7
HMSA
05
497942-01
HI
01
LSW783
QUEEN'S HEALTH PLANS
HI
Enumeration date
11/22/2005
Last updated
07/08/2007
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