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Individual

MS. PRISCILLA T LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
56 WAIANUENUE AVE STE 208, HILO, HI 96720-2474
(808) 969-9211
(808) 969-9211
Mailing address
56 WAIANUENUE AVE STE 208, HILO, HI 96720-2474
(808) 969-9211
(808) 969-9211

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3252
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000228148
HMSA QUEST
HI
01
0601130012
HMAA
HI
01
492405-01
ALOHA CARE
HI
05
569147-01
HI
01
990189021
TRIWEST HEALTH ALLIANCE
HI
Enumeration date
11/09/2006
Last updated
07/09/2007
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