Individual
JENNIFER P MACHATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
266 ALAUME ST, KIHEI, HI 96753-8515
(808) 283-9497
Mailing address
266 ALAUME STREET, KIHEI, HI 96753
(808) 283-9497
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW3820
HI
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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