Individual
LAUREN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
135 S WAKEA AVE STE 101, KAHULUI, HI 96732-1385
(808) 264-3007
Mailing address
135 S WAKEA AVE STE 101, KAHULUI, HI 96732-1385
(808) 264-3007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4079
HI
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
11/06/2015
Last updated
09/15/2016
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