Individual
HENRY A GRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4643B WAIMEA CANYON DRIVE, WAIMEA, HI 96796
(808) 240-0154
(808) 338-1606
Mailing address
PO BOX 3990, LIHUE, HI 96766-6990
(808) 240-0100
(808) 245-8867
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3369
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
523979-01
—
HI
Enumeration date
07/31/2006
Last updated
07/09/2007
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