Individual
MARY KOMOMUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1584 ULUHAO ST, KAILUA, HI 96734-4423
(808) 551-7089
Mailing address
3688 WOODLAWN TERRACE PL, HONOLULU, HI 96822-1475
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4392
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4392
LICENSED CLINICAL SOCIAL WORKER
HI
Enumeration date
07/12/2017
Last updated
01/06/2020
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