Individual
MICHELLE MALIA ISHIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
3515 HARDING AVE, HONOLULU, HI 96816-2412
(808) 735-6981
(808) 735-6984
Mailing address
3515 HARDING AVE, HONOLULU, HI 96816-2412
(808) 735-6981
(808) 735-6984
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1714
HI
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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