Provider Information for 1295124949
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Ms. MIHOKO KUSACHI LMHC
Sex: Female
NPI: 1295124949
Last Updated: 2015-01-20
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1295124949 | ||||||||
| Enumeration Date | 2015-01-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 1234 VOLCANO, HI 96785-1234 United States Phone: 808-985-7199 | Fax:808-985-7199 | ||||||||
| Primary Practice Address | 56 WAIANUENUE AVE #8 HILO, HI 96720-2474 United States Phone: 808-769-1468 | Fax: | ||||||||
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