Individual
MAGGIE WADE COVENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 MAKALOA ST STE 204-125, HONOLULU, HI 96814-3232
(800) 828-5659
Mailing address
95-797 WIKAO ST APT B105, MILILANI, HI 96789-5031
(931) 279-2381
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/17/2021
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