Individual
DEBORAH LEE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
377 KEAHOLE ST, E-210, HONOLULU, HI 96825-3405
(808) 428-4125
(808) 396-3070
Mailing address
377 KEAHOLE ST, E-210, HONOLULU, HI 96825-3405
(808) 428-4125
(808) 396-3070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3721
HI
Other
Enumeration date
05/03/2011
Last updated
12/18/2014
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