Individual
ETSUKO YAMAGUCHI FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
970 N KALAHEO AVE STE A214, KAILUA, HI 96734-1857
(818) 208-6225
Mailing address
970 N KALAHEO AVE STE A214, KAILUA, HI 96734-1857
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2246
HI
1041C0700X
Clinical Social Worker
Primary
4571
HI
Other
Enumeration date
09/23/2015
Last updated
04/08/2026
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