Individual
MICHAEL N LAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
105 N MARKET ST STE 102, WAILUKU, HI 96793-1752
(808) 856-3149
(808) 242-1469
Mailing address
105 N MARKET ST STE 102, WAILUKU, HI 96793-1752
(808) 856-3149
(808) 242-1469
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1678
HI
1041C0700X
Clinical Social Worker
Primary
4152
HI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/01/2012
Last updated
12/29/2018
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