Individual
SHELLEY SHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74-381 KEALAKEHE PKWY, SUITE I & J, KAILUA KONA, HI 96740-2705
(808) 329-6395
Mailing address
74-381 KEALAKEHE PKWY, SUITE I & J, KAILUA KONA, HI 96740-2705
(808) 329-6395
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT-187
HI
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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