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Individual

MS. COLLEEN M. TESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
135 S WAKEA AVE, KAHULUI, HI 96732-1385
(808) 871-1181
Mailing address
698 MILILANI PL, KIHEI, HI 96753-9361
(808) 891-0136
(808) 891-0136

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3094
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000237776
HAWAII MEDICAL SERVICE AS
HI
05
542606-01
HI
Enumeration date
02/19/2007
Last updated
07/08/2007
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