Individual
LISA A TANIGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4643B WAIMEA CANYON DRIVE, WAIMEA, HI 96796
(808) 240-0155
(808) 245-4146
Mailing address
PO BOX 3990, LIHUE, HI 96766-6990
(808) 240-0155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3475
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
523979-01
—
HI
Enumeration date
03/21/2008
Last updated
03/21/2008
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