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Individual

HAROLD EUGENE GREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1441 ALA MOANA BLVD STE 1600, HONOLULU, HI 96814
(808) 432-7600
Mailing address
1935 ELLEN AVE, SAN JOSE, CA 95125-2522
(408) 623-6371

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26520
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20154
ASCW REGISTRATION NO.
CA
01
41389
UNICARE PROVIDER NUMBER
CA
Enumeration date
11/09/2006
Last updated
03/17/2021
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