Organization
GOOD GRIEF CLINIC LLC
Active
Other names
Good Grief Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARI M KANEMURA LCSW (CLINIC DIRECTOR)
(808) 364-9391
Entity
Organization
Contact information
Practice address
752 LOWER MAIN ST, WAILUKU, HI 96793-1480
(808) 364-9391
Mailing address
1731 KAMAMALU PL, WAILUKU, HI 96793-2505
(808) 364-9391
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
793085
—
HI
Enumeration date
08/30/2021
Last updated
08/30/2021
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