Opening Doors To Change, Llc | |
404 Kuehu St Kapolei HI 96707-4500 | |
(808) 636-4040 | |
Not Available |
Full Name | Opening Doors To Change, Llc |
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Speciality | Social Worker - Clinical |
Location | 404 Kuehu St, Kapolei, Hawaii |
Authorized Official Name and Position | Karen S Bayard (OWNER/ CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 8086364040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Opening Doors To Change, Llc 404 Kuehu St Kapolei HI 96707-4500 Ph: (808) 636-4040 | Opening Doors To Change, Llc 404 Kuehu St Kapolei HI 96707-4500 Ph: (808) 636-4040 |
NPI Number | 1174966824 |
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Provider Enumeration Date | 04/12/2013 |
Last Update Date | 04/12/2013 |
Identifier | Type | State | Issuer |
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1174966824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3297 (Hawaii) | Primary |
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