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Organization

ISLAND PARADISE COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ROXY ANTOINETTE MICO LCSW (MEMBER)
(808) 935-0070
Entity
Organization

Contact information

Practice address
162 KINOOLE ST STE 101, HILO, HI 96720-2861
(808) 935-0070
(808) 935-0070
Mailing address
PO BOX 10068, HILO, HI 96721
(808) 935-0070
(808) 935-0070

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
HI

Other

Enumeration date
08/12/2014
Last updated
06/09/2015
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