Organization
GIRL GENIUS LABS LLC
Active
Other names
Elaine Hicks LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE LELANDA HICKS (LCSW, OWNER)
(808) 675-1086
Entity
Organization
Contact information
Practice address
91-1265 KAMAAHA AVE APT 507, KAPOLEI, HI 96707-4917
(808) 675-1086
Mailing address
91-1265 KAMAAHA AVE APT 507, KAPOLEI, HI 96707-4917
(808) 675-1086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15107328
—
HI
Enumeration date
03/20/2021
Last updated
12/10/2021
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