Individual
GERALD LENORD COFFEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
606 CORAL ST, HONOLULU, HI 96813-5135
(808) 499-7340
(808) 791-6186
Mailing address
4068 ROUND TOP DR, HONOLULU, HI 96822-5019
(808) 499-7340
(808) 791-6186
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3017
HI
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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