Individual
KIMBERLY JD IESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
500 ALA MOANA BLVD STE 6D, HONOLULU, HI 96813-4984
(808) 777-4000
(808) 447-0571
Mailing address
500 ALA MOANA BLVD STE 6D, HONOLULU, HI 96813-4984
(808) 777-4000
(808) 447-0571
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3644
HI
1041C0700X
Clinical Social Worker
7339-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43720500
—
WI
Enumeration date
08/01/2007
Last updated
06/10/2020
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