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Individual

MISS LISA R. KEALOHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
3627 KILAUEA AVE # 101, HONOLULU, HI 96816-2317
(808) 675-6359
Mailing address
95-188 KIPAPA DR APT 75, MILILANI, HI 96789-1170
(808) 223-1039

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
08/25/2008
Last updated
05/02/2012
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