Theodore Ireland II

NPI #1467768606 in Hilo, Hawaii

Provider Information

NPI Number: 1467768606
Entity Type: Individual
Name: Theodore Ireland II
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 25, 2010
Last Updated: Feb 16, 2017

Practice Location

Address: 622 HINANO ST
City: Hilo
State: Hawaii
ZIP Code: 96720-4427
Phone: (808) 238-4771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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