Individual
LUKE KUSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
710 GREEN ST, HONOLULU, HI 96813-2119
(808) 536-3764
(808) 521-4491
Mailing address
1950 UMALU PL, HONOLULU, HI 96819-3056
(808) 845-4774
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-1718
HI
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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