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Individual

SHANDY NANOMANTUBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
10391 DOUBLE R BLVD, RENO, NV 89521-5991
(775) 622-4799
Mailing address
2175 LYRIC DR, RENO, NV 89521-4523
(916) 761-3749

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11433-C
NV
225400000X
Rehabilitation Practitioner

Other

Enumeration date
10/04/2016
Last updated
06/24/2024
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