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Individual

MRS. JAMIE A. DETWILER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW, MSW

Contact information

Practice address
459 PATTERSON RD, VAPIHCS, HONOLULU, HI 96819-1522
(808) 433-0512
(808) 433-0381
Mailing address
95-1035 HOOKANAHE ST, MILILANI, HI 96789-4201
(808) 222-1750
(808) 433-0381

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
951
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LSW-951
LICENSED SOCIAL WORKER
HI
Enumeration date
10/18/2006
Last updated
07/08/2007
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