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Individual

AMANDA MARIA GINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1188 BISHOP ST STE 2905, HONOLULU, HI 96813-3312
(808) 372-1330
Mailing address
1188 BISHOP ST STE 2905, HONOLULU, HI 96813-3312
(808) 372-1330

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1905-16
HI
1041C0700X
Clinical Social Worker
Primary
4445
HI

Other

Enumeration date
07/01/2019
Last updated
07/04/2024
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