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Individual

MRS. VISHWANI SHIRVANA RAM-SOUZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
54 KAIKUONO ST, HILO, HI 96720-1730
(612) 644-0737
Mailing address
54 KAIKUONO ST, HILO, HI 96720-1730
(612) 644-0737

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MN
106H00000X
Marriage & Family Therapist
Primary
438
HI

Other

Enumeration date
03/20/2013
Last updated
06/01/2015
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