Individual
MICHELLE CORPUZ SERRANO SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
74-5070 KUMAKANI ST, KAILUA KONA, HI 96740-1530
(808) 854-5180
Mailing address
74-5070 KUMAKANI ST, KAILUA KONA, HI 96740-1530
(808) 854-5180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3453
HI
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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