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Individual

MR. GORDON F SHRADER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 935-3781
(808) 935-6692
Mailing address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 935-3781
(808) 935-6692

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
114L
NV

Other

Enumeration date
10/11/2006
Last updated
07/08/2007
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