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Individual

GAYLE DUDOIT DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW,LSW

Contact information

Practice address
1 JARRETT WHITE RD, TAMC, HI 96859-5001
(808) 222-6499
Mailing address
91-1068 KOANIMAKANI ST, KAPOLEI, HI 96707-2934
(808) 222-6499

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1074
HI

Other

Enumeration date
02/07/2007
Last updated
07/08/2007
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