Individual
MS. JESSICA BRAZIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1300 N HOLOPONO ST STE 108, KIHEI, HI 96753-6946
(808) 206-9371
(552) 707-4418
Mailing address
P.O. BOX 1977, KIHEI, HI 96753
(808) 206-9371
(855) 270-7441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3870
HI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/04/2010
Last updated
08/31/2022
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