Individual
OUDLAY TOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 KAOHU ST, WAILUKU, HI 96793-2311
(808) 283-8333
Mailing address
1959 KAOHU ST, WAILUKU, HI 96793-2311
(808) 283-8333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3919
HI
Other
Enumeration date
10/13/2014
Last updated
09/04/2020
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