Individual
MS. TERI L HOLTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, DCSW
Contact information
Practice address
1170 MAKAWAO AVE, MAKAWAO, HI 96768-9448
(808) 572-5551
(808) 572-5554
Mailing address
PO BOX 458, MAKAWAO, HI 96768-0458
(808) 205-8055
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1076
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
566763.01
—
HI
Enumeration date
05/03/2007
Last updated
08/12/2016
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