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Individual

LAURIE A SANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
6600 KALANIANAOLE HWY, 225, HON, HI 96825-1281
(808) 394-2800
(808) 394-2826
Mailing address
6600 KALANIANAOLE HWY, #225, HON, HI 96825-1281
(808) 394-2800
(808) 394-2826

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY661
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
220939
HMSA
HI
05
49442701
HI
01
52573
KAISER
HI
Enumeration date
09/07/2006
Last updated
12/11/2008
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