Individual
SANDRA PICKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
27 ULULANI ST, HILO, HI 96720-2964
(808) 961-6845
Mailing address
PO BOX 11021, HILO, HI 96721-6021
(808) 961-6845
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3147
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49246301
—
HI
Enumeration date
05/23/2007
Last updated
08/23/2017
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