Individual
MICHELLE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 KAMOKILA BLVD STE 355, KAPOLEI, HI 96707-2035
(808) 692-7700
(808) 692-7712
Mailing address
1611 KEEAUMOKU ST APT 310, HONOLULU, HI 96822-4314
(801) 372-9255
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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