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Individual

MRS. LAURA CATHERINE MOA NISHIZAKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 691-7336
(808) 691-4305
Mailing address
91-1493 LOILOI LOOP, EWA BEACH, HI 96706-4875
(808) 391-2524

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW2118
HI
1041C0700X
Clinical Social Worker
Primary
LCSW4645
HI

Other

Enumeration date
09/14/2012
Last updated
04/30/2024
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