Individual
MARY LOU - LOMAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
803 KAMEHAMEHA HWY STE 410, PEARL CITY, HI 96782-2638
(808) 256-2842
(808) 263-2225
Mailing address
909 KAIPII ST, KAILUA, HI 96734-2038
(808) 256-2842
(808) 263-2225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3085
HI
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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