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Individual

MRS. SUNDARA AMBER LOTUS FITZ-GERALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
75-5744 ALII DR STE 237, KAILUA KONA, HI 96740-1740
(808) 329-5800
Mailing address
PO BOX 2935, KAILUA KONA, HI 96745-2935
(808) 990-4605

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT- 464
HI

Other

Enumeration date
07/17/2012
Last updated
01/27/2016
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