Individual
MS. BRENDA JOAN LEVESQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
32-77 PIHA KAHUKU RD, NINOLE, HI 96773-0057
(808) 854-5540
Mailing address
PO BOX 57, NINOLE, HI 96773-0057
(808) 854-5540
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
111874
MA
1041C0700X
Clinical Social Worker
Primary
3917
HI
Other
Enumeration date
01/22/2009
Last updated
01/12/2017
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