Individual
MRS. STACEY CATHERINE WISIOROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2970 KELE ST, SUITE 109, LIHUE, HI 96766-1823
(808) 639-9359
(808) 245-9818
Mailing address
PO BOX 1251, LIHUE, HI 96766-5251
(808) 639-9359
(808) 245-9818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3103
HI
Other
Enumeration date
09/13/2010
Last updated
07/27/2012
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