Connie J Debord is a Clinical in Wailuku, Hawaii. Connie J Debord practices all healthcare services and medical treatments related to Clinical. The NPI Number for Connie J Debord is 1699964775. The last update date is 2007-10-15.
Connie J Debord's current location address is 80 Mahalani St, Wailuku, Hawaii. You can contact this provider via phone number 8082436000. The mailing address for Connie J Debord is 80 Mahalani St, Wailuku, Hawaii. To know further, please read the information below!
Provider Profile Detail
Provider Name | Connie J Debord |
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Address | 80 Mahalani St, Wailuku, Hawaii |
Phone Number | 8082436000 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1699964775 |
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Provider Enumeration Date | 2007-10-15 |
Last Updated Date | 2007-10-15 |
Provider Mailing Address Detail
Address | 80 Mahalani St |
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City | Wailuku |
State | Hawaii (HI) |
Post Code | 967932531 |
Phone Number | 8082436000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCSW-3406 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique provider identifier assigned to Connie J Debord?
The Connie J Debord has been issued the NPI (National Provider Identifier) 1699964775 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Connie J Debord located?
The Connie J Debord is located at 80 Mahalani St, Wailuku, HI 967932531.
What is Connie J Debord's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Connie J Debord is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Connie J Debord receive the assignment of its 1699964775 from the Centers for Medicare & Medicaid Services?
The Connie J Debord was issued its 1699964775 by the Centers for Medicare & Medicaid Services on 2007-10-15.
When was the information regarding Connie J Debord most recently updated?
The details pertaining to the Connie J Debord, including its address, specialty, and other relevant information, were last refreshed on 2007-10-15.