Debord, Connie J

Debord, Connie J is an individual health care provider with primary practice located at 80 Mahalani St , Wailuku HI 96793-2531. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Debord, Connie J can be contacted via phone (808) 243-6000.

Contact Information

Primary practice address
80 Mahalani St Wailuku HI 96793-2531
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-3406 Hawaii

Profile Details

NPI number 1699964775
LBN Legal business name Debord, Connie J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2007
Last updated Oct 15th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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