Individual
GLENN S. IZAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
65 MAKAENA ST., ROOM 107, KAUNAKAKAI, HI 96748-2007
(808) 553-3691
(808) 553-9859
Mailing address
65 MAKAENA ST., ROOM 107, KAUNAKAKAI, HI 96748-2007
(808) 553-3691
(808) 553-9859
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-318
HI
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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