Individual
TIFFANY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 433-0778
Mailing address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 433-0778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4030
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477924421
NONE
—
Enumeration date
10/16/2015
Last updated
10/28/2022
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