Organization
DORENE TOUTANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORENE CATHERINE TOUTANT LCSW (OWNER)
(626) 755-8726
Entity
Organization
Contact information
Practice address
50 KAUKINI LOOP, WAILUKU, HI 96793-5755
(626) 755-8726
Mailing address
1704 WILI PA LOOP, 272, WAILUKU, HI 96793-1240
(626) 755-8726
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4199
HI
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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