Individual
THERESA ELAINE LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
40 MALUNIU AVE, KAILUA, HI 96734-5810
(808) 284-6501
Mailing address
47-465 AIAI PL, KANEOHE, HI 96744-4817
(808) 284-6501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3487
HI
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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