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Individual

MR. ALEXANDER LIMJOCO MANGINDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
1 JARRETT WHITE ROAD TAMC, HONOLULU, HI 96819-5000
(808) 433-6661
Mailing address
450 HINANO WAY, UNIT 1, KAILUA, HI 96734-5547
(719) 337-4941

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4308
TN
1041C0700X
Clinical Social Worker
Primary
LC303584
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1
MEDDAC
HI
Enumeration date
08/09/2010
Last updated
08/09/2010
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