Individual
LENNIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 WAIMANO HOME RD, PEARL CITY, HI 96782-1478
(808) 454-1411
Mailing address
94-302 PAIWA ST APT 809, WAIPAHU, HI 96797-3671
(808) 277-6926
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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