Individual
SUZANNE I. PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1109 12TH AVE STE 201, HONOLULU, HI 96816-3714
(831) 350-0109
Mailing address
1109 12TH AVE STE 201, HONOLULU, HI 96816-3714
(831) 305-0109
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
101643
NY
104100000X
Social Worker
LSW-2562
HI
1041C0700X
Clinical Social Worker
Primary
LCSW-4755
HI
Other
Enumeration date
09/14/2017
Last updated
12/27/2022
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