Individual
MS. JEANETTE CHRISTINE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DCSW
Contact information
Practice address
55 N CHURCH ST STE 2, WAILUKU, HI 96793-1684
(808) 244-6881
Mailing address
3095 KEKAULIKE AVE, KULA, HI 96790-8483
(808) 244-6881
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW501
HI
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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