Individual
MS. CAROL FRANCINE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
56 565 KAMEHAMEHA HWY, KAHUKU, HI 96731
(808) 293-9217
(808) 293-1171
Mailing address
59 307 PUPUKEA RD, HALEIWA, HI 96712
(808) 638-9466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3054
HI
1041C0700X
Clinical Social Worker
340
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
548935
—
HI
Enumeration date
01/02/2007
Last updated
07/08/2007
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