Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | LCSW-3565 | HI |
NPI | 1003207069 |
---|---|
Provider Name | Mr. Warren Robbins |
First Address | Kaneohe, HI 96744-3662 |
Second Address | Kaneohe, HI 96744-3662 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2015 |
Last Update Date | 12/02/2015 |