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Individual

ALEXANDRA LEIGH ALCISTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
234 WAIANUENUE AVE, HILO, HI 96720-2418
(808) 747-4353
Mailing address
25-3535 OPALIPALI ST, HILO, HI 96720-1373
(808) 747-4353

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/11/2011
Last updated
03/18/2020
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