Individual
STACY HAUNANI TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
55 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6000
Mailing address
265 OHAOHA PL, MAKAWAO, HI 96768-7709
(808) 352-3525
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3724
HI
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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