Individual
MS. BETSY JANE BAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW,QCSW,LCSW
Contact information
Practice address
319A N CANE ST, WAHIAWA, HI 96786-2109
(808) 621-1820
(808) 621-0540
Mailing address
319A N CANE ST, WAHIAWA, HI 96786-2109
(808) 621-1820
(808) 621-0540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 3086
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541153 01
—
HI
Enumeration date
02/16/2007
Last updated
07/08/2007
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