Organization
COLLECTIVE CURRENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME D'EREDITA LCSW (OWNER/EMPLOYEE)
(703) 347-3052
Entity
Organization
Contact information
Practice address
337 ULUNIU ST, KAILUA, HI 96734-2538
(719) 357-5702
Mailing address
742 MALUNIU AVE, KAILUA, HI 96734-2163
(703) 347-3052
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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