Individual
MS. LAURIE SODETANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP CCC-MA
Contact information
Practice address
886 KUMUKOA ST, HILO, HI 96720-4028
(808) 934-0633
Mailing address
886 KUMUKOA ST, HILO, HI 96720-4028
(808) 934-0633
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 268
HI
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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