Provider Demographics
NPI:1518082072
Name:HIGA-FUNAI, MARJORIE MIDORI (MSW)
Entity Type:Individual
Prefix:MS
First Name:MARJORIE
Middle Name:MIDORI
Last Name:HIGA-FUNAI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 ALA ALII ST
Mailing Address - Street 2:#97
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-5349
Mailing Address - Country:US
Mailing Address - Phone:808-386-5113
Mailing Address - Fax:
Practice Address - Street 1:1822 KEEAUMOKU ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-3001
Practice Address - Country:US
Practice Address - Phone:808-527-4475
Practice Address - Fax:808-527-4479
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI30881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical