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Individual

ERICA ALISA SOARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
507 ILIMA LN, HILO, HI 96720-7818
(808) 961-5166
Mailing address
91-1841 FORT WEAVER RD, CHILD AND FAMILY SERVICES, EWA BEACH, HI 96706-1909
(808) 961-5166

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/25/2008
Last updated
11/17/2015
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