Individual
CARLA LEE MAE EBUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
309 S HIGH ST, WAILUKU, HI 96793-2103
(760) 718-8153
Mailing address
309 S HIGH ST, WAILUKU, HI 96793-2103
(760) 718-8153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5002
HI
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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