MR. Michael A Dattola, LCSW

NPI #1366458291 in Haiku, Hawaii

Provider Information

NPI Number: 1366458291
Entity Type: Individual
Name: MR. Michael A Dattola, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jul 31, 2006
Last Updated: Jun 10, 2023

Practice Location

Address: 1090 E KUIAHA RD
City: Haiku
State: Hawaii
ZIP Code: 96708-5535
Phone: (808) 707-7219

Specialties & Taxonomy Codes

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

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