Individual
JODI ANNE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, CCM
Contact information
Practice address
998 ALA KAPUA ST, HONOLULU, HI 96818-2335
(808) 833-3134
Mailing address
998 ALA KAPUA ST, HONOLULU, HI 96818-2335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1437
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72281
CCMC
—
01
—
LSW-1437
HI STATE DEPT. OF COMMERC
HI
Enumeration date
02/05/2008
Last updated
02/05/2008
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