Individual
LISA STILWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Contact information
Practice address
14 LAUMAKANI LOOP, KIHEI, HI 96753-8200
(808) 793-4536
Mailing address
1215 S KIHEI RD, STE O, PMB 126, KIHEI, HI 96753-8200
(808) 793-4536
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4109
HI
1041C0700X
Clinical Social Worker
60576997
WA
Other
Enumeration date
04/22/2020
Last updated
11/10/2022
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