Individual
FABIENNE BISARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.F.T.
Contact information
Practice address
651026 MAMALAHOA HWY, KAMUELA, HI 96743
(808) 936-9298
Mailing address
PO BOX 1163, HONOKAA, HI 96727-1163
(808) 936-9298
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT-427
HI
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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