Individual
MRS. GINA BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
92-1202 OLANI ST, KAPOLEI, HI 96707-4265
(253) 861-7182
Mailing address
92-1202 OLANI ST, KAPOLEI, HI 96707-4265
(253) 861-7182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4426
HI
Other
Enumeration date
05/27/2017
Last updated
07/21/2022
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