Individual
MR. JUSTIN JAY FIENHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 655-9944
Mailing address
PO BOX 893938, MILILANI, HI 96789-0938
(808) 655-9944
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3588
HI
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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