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Individual

BRIAN K ISHIDERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1883 KALAKAUA AVE, SUITE 206, HONOLULU, HI 96813-9681
(808) 349-4223
Mailing address
4348 WAIALAE AVE # 783, HONOLULU, HI 96816-5767
(808) 349-4223

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-4788
HI
1041C0700X
Clinical Social Worker

Other

Enumeration date
11/29/2022
Last updated
11/29/2022
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