Individual
DANIEL CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
200 IKE DR, MAKAWAO, HI 96768-9718
(808) 579-8414
Mailing address
200 IKE DR, MAKAWAO, HI 96768-9718
(808) 579-8414
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2272
HI
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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