Individual
MICHELLE IP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 308-3823
Mailing address
459 PATTERSON RD, HONOLULU, HI 96819-1522
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2420
HI
1041C0700X
Clinical Social Worker
Primary
4671
HI
Other
Enumeration date
08/03/2020
Last updated
04/12/2022
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