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Provider Information for 1356405781


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Ms. AYA OKUMURA LCSW


Sex: Female

NPI: 1356405781
Last Updated: 2024-08-16
Certification Date: 2024-08-16

Details

NameValue
NPI1356405781
Enumeration Date2006-12-20
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 2211 ALA WAI BLVD APT 2514
HONOLULU, HI 96815-2406
United States

Phone: 510-593-6471 | Fax:
 
Primary Practice Address 2211 ALA WAI BLVD APT 2514
HONOLULU, HI 96815-2406
United States

Phone: 510-593-6471 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 104100000X - Social Worker CALCS20347
Yes 104100000X - Social Worker HILCS4210