Kaitlyn Callais Stafford, LCSW OR LICSW

NPI #1225589955 in Waimanalo, Hawaii

Provider Information

NPI Number: 1225589955
Entity Type: Individual
Name: Kaitlyn Callais Stafford, LCSW OR LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW OR LICSW
Enumeration Date: Oct 18, 2016
Last Updated: Dec 7, 2017

Practice Location

Address: 41-038 WAILEA ST STE C
City: Waimanalo
State: Hawaii
ZIP Code: 96795-1671
Phone: (808) 518-4976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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