Individual
GRACE MADARANG BARRIENTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
305 WAILUKU DR STE 5, HILO, HI 96720-2488
(808) 238-0270
(808) 443-0070
Mailing address
PO BOX 4624, HILO, HI 96720-0624
(808) 895-4850
(808) 934-0071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3888
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788359
—
HI
Enumeration date
06/09/2008
Last updated
02/22/2019
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