Individual
HANNAH FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
98-1005 MOANALUA RD SPC 420, AIEA, HI 96701-4702
(814) 952-6823
Mailing address
PO BOX 62181, HONOLULU, HI 96839-2181
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW4377
HI
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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