Individual
STACEY KRENELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1881 NANI ST, WAILUKU, HI 96793-1811
(808) 871-7772
(808) 872-4030
Mailing address
1881 NANI ST, WAILUKU, HI 96793-1811
(808) 871-7772
(808) 872-4030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW3106
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071290-01
—
HI
Enumeration date
01/10/2007
Last updated
12/02/2009
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