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Individual

MISS SHANTELLE AGLANAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
310 BRANNON ROAD, BLDG 690, SCHOFIELD BARRACKS, HI 96857-5617
(808) 295-0134
Mailing address
91-209 KOLILI PL, KAPOLEI, HI 96707-2605
(808) 699-4179

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC-972
HI

Other

Enumeration date
10/23/2018
Last updated
10/04/2024
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