Individual
JOHANNA JACQUELINE ANCHETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Contact information
Practice address
5333 PUAHIA PL, HONOLULU, HI 96821-1543
(808) 343-0093
Mailing address
57 ORCHARD ST, ELIZABETH, NJ 07208-3603
(908) 230-7478
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801116976
MI
390200000X
Student in an Organized Health Care Education/Training Program
A58664067159892
NJ
Other
Enumeration date
07/05/2016
Last updated
05/05/2024
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