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Individual

MS. JOAN LEVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW, LSW, ACSW

Contact information

Practice address
310 KIHAPAI ST, KAPAA, HI 96746
(808) 822-5488
Mailing address
PO BOX 160, KAPAA, HI 96746-0160
(808) 822-5488

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCS 10463
CA
1041C0700X
Clinical Social Worker
Primary
LCSW 3046
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2487750
HI
Enumeration date
12/29/2006
Last updated
07/08/2007
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