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Individual

GRETCHEN S. WIGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
79-1020 HAUKAPILA ST, KEALAKEKUA, HI 96750-7922
(808) 322-4818
(808) 322-4817
Mailing address
74-5037 HANAHANAI LOOP, KAILUA KONA, HI 96740-1538
(808) 322-4818
(808) 322-4817

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW - 3229
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000241265
HMSA
HI
05
0000256640
HI
01
256640
ALOHA CARE
HI
Enumeration date
12/15/2006
Last updated
07/08/2007
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