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Individual

ALICIA JANE DOMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
91-1010 SHANGRILA STREET SUITE 307, KAPOLEI, HI 96707
(808) 312-2827
Mailing address
67-259 KUKEA CIRCLE B, WAIALUA, HI 96791

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1930
HI

Other

Enumeration date
10/03/2021
Last updated
10/03/2021
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