Individual
MARY FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1357 KAPIOLANI BLVD STE 1410, HONOLULU, HI 96814-4535
(808) 892-9005
Mailing address
PO BOX 342121, KAILUA, HI 96734-8997
(808) 253-8862
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW-2670
HI
1041C0700X
Clinical Social Worker
Primary
LCSW-5054
HI
Other
Enumeration date
11/25/2021
Last updated
01/31/2024
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