Individual
MS. MARTHA JAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3146 AKAHI ST, LIHUE, HI 96766-1105
(808) 632-2010
(808) 632-2101
Mailing address
5625A ILEINA LN, KAPAA, HI 96746-2301
(808) 651-2499
(808) 632-2101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3387
HI
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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