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Individual

MS. JEAN MARIE WAVRIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT

Contact information

Practice address
161494 38TH AVE, KEAAU, HI 96749
(808) 896-3788
Mailing address
16-1494 38TH AVENUE HCR1 5686, KEAAU, HI 96749
(808) 896-3788

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
244
HI

Other

Enumeration date
04/07/2010
Last updated
04/07/2010
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