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Individual

KIRSTEN WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
622 HINANO ST, HILO, HI 96720-4427
(808) 969-1935
Mailing address
622 HINANO S, HILO, HI 96720-2675
(808) 258-4840

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
848
HI
101YM0800X
Mental Health Counselor

Other

Enumeration date
04/11/2016
Last updated
03/15/2022
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