Individual
MARY TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
94-408 AKOKI ST, SUITE 202, WAIPAHU, HI 96797-2733
(808) 676-5584
(808) 676-5587
Mailing address
94-408 AKOKI ST, SUITE 202, WAIPAHU, HI 96797-2733
(808) 676-5584
(808) 676-5587
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-2058
HI
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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