Individual
KRISTEN PAGULAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
95-390 KUAHELANI AVE, # 3AC-1099, MILILANI, HI 96789-1192
(860) 559-0929
Mailing address
95-390 KUAHELANI AVE, # 3AC-1099, MILILANI, HI 96789-1192
(860) 559-0929
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
008056
CT
1041C0700X
Clinical Social Worker
11184
SC
1041C0700X
Clinical Social Worker
Primary
4390
HI
1041C0700X
Clinical Social Worker
CSW005444
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q529070281
—
SC
Enumeration date
10/08/2012
Last updated
03/20/2022
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