Organization
EXPANDING HORIZONS HAWAII
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY SIMONETTI LCSW (CLINICAL SOCIAL WORKER)
(808) 222-8057
Entity
Organization
Contact information
Practice address
45-955 KAMEHAMEHA HWY STE 206, KANEOHE, HI 96744-3293
(808) 222-8057
Mailing address
1617 MILLER ST APT 7, HONOLULU, HI 96813-1898
(808) 222-8057
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3575
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000293910
HMSA
HI
Enumeration date
04/01/2016
Last updated
05/10/2016
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