Shanell Lee Tamayori, LCSW
Social Worker, Clinical in Honolulu, HI. Individual provider (NPI-1).
NPI number1164035218
StatusActive
Last updated in NPPESAug 28, 2020
Details
- NPI
- 1164035218
- Entity type
- Individual (NPI-1)
- Name
- Shanell Lee Tamayori
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2020
- Certification date
- Aug 27, 2020
- Last updated
- Aug 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 4570 | HI | Yes |
Practice location
459 Patterson RdHonolulu, HI 96819-1522
Phone 808-940-7659
Mailing address
459 Patterson RdHonolulu, HI 96819-1522
Phone 808-940-7659
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