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Individual

PEARL M A S IESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
91-110 HANUA ST STE 201, KAPOLEI, HI 96707-1702
(435) 932-3672
Mailing address
321 N MALL DR STE E102, ST GEORGE, UT 84790-7305
(435) 932-3672

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-2912
HI
1041C0700X
Clinical Social Worker
Primary
LCSW-5442
HI

Other

Enumeration date
03/31/2023
Last updated
01/15/2026
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