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Individual

MRS. KRISTINE LILLIAN RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
6860 A 112TH STREET, EWA BEACH, HI 96706
(808) 377-0697
Mailing address
42-477 KALANIANAOLE HWY, KAILUA, HI 96734-4302
(808) 266-9922

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1867
HI

Other

Enumeration date
08/15/2012
Last updated
08/15/2012
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