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Organization

SAKURA CENTER FOR PSYCHOLOGICAL ASSESSMENT AND THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOMINIQUE BALE PSY.D. (MANAGER)
(808) 469-6377
Entity
Organization

Contact information

Practice address
91-1010 SHANGRILA ST STE 307, KAPOLEI, HI 96707-2176
(808) 469-6377
Mailing address
91-1010 SHANGRILA ST STE 307, KAPOLEI, HI 96707-2176

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1575
HI

Other

Enumeration date
03/21/2018
Last updated
03/21/2018
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