Individual
JULIE SHOUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
55 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6000
Mailing address
82 ALAHELE PL, KIHEI, HI 96753-7809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4166
HI
251B00000X
Case Management Agency
090337-1
NY
Other
Enumeration date
01/15/2014
Last updated
08/12/2021
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