Individual
ALICIA RENEE SCHILLEWAERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15-1398 20TH AVE, KEAAU, HI 96749
(763) 280-0514
Mailing address
HC 1 BOX 5518, KEAAU, HI 96749-8502
(763) 280-0514
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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