Individual
RAENISSA SAGAPOLUTELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
94-1003 HALEPUNA ST, WAIPAHU, HI 96797-5452
(808) 382-6119
Mailing address
94-1003 HALEPUNA ST, WAIPAHU, HI 96797-5452
(808) 382-6119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3496
HI
Other
Enumeration date
05/10/2023
Last updated
06/16/2023
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