Individual
MISS CHELSEA DE LUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
49 KAIULANI ST, HILO, HI 96720-2528
(808) 961-3081
(808) 961-6847
Mailing address
49 KAIULANI STREET, HILO, HI 96720
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1929
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1929
LICENSED SOCIAL WORKER
HI
Enumeration date
12/08/2011
Last updated
12/08/2011
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