Good Grief Clinic Llc | |
752 Lower Main St Wailuku HI 96793-1480 | |
(808) 364-9391 | |
Not Available |
Full Name | Good Grief Clinic Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 752 Lower Main St, Wailuku, Hawaii |
Authorized Official Name and Position | Mari M Kanemura (CLINIC DIRECTOR) |
Authorized Official Contact | 8083649391 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Good Grief Clinic Llc 1731 Kamamalu Pl Wailuku HI 96793-2505 Ph: (808) 364-9391 | Good Grief Clinic Llc 752 Lower Main St Wailuku HI 96793-1480 Ph: (808) 364-9391 |
NPI Number | 1508534132 |
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Provider Enumeration Date | 08/30/2021 |
Last Update Date | 08/30/2021 |
Certification Date | 08/30/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508534132 | NPI | - | NPPES |
793085 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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