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Individual

MRS. DAE HELENA LECKIE

Active
Sole proprietor
Yes

Provider details

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

Contact information

Practice address
324 LILIUOKALANI ST, MAKAWAO, HI 96768-8633
(808) 573-6937
(808) 573-6937
Mailing address
324 LILIUOKALANI ST, MAKAWAO, HI 96768-8633
(808) 573-6937
(808) 573-6937

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3251
HI
1041C0700X
Clinical Social Worker
LCS10458
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000259440
HMSA PROVIDER NUMBER
HI
Enumeration date
02/20/2007
Last updated
07/08/2007
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