Individual
MARK MOEAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
55-479 NANILOA LOOP # A, LAIE, HI 96762-1126
(808) 365-9361
Mailing address
55-479 NANILOA LOOP # A, LAIE, HI 96762-1126
(808) 365-9361
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4238
HI
1041C0700X
Clinical Social Worker
6152802-3501
UT
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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