Individual
KRISTEN BENEVIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3052 KAHAKO PL, KAILUA, HI 96734-5900
(808) 285-2508
Mailing address
3052 KAHAKO PL, KAILUA, HI 96734-5900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-5082-0
HI
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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