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Individual

ALICIA AYAKO NISHIMURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
526 S TONOPAH DR STE 200, LAS VEGAS, NV 89106-4013
(702) 440-8440
Mailing address
3016 BEAUFORT CT, NORTH LAS VEGAS, NV 89032-0478
(206) 402-9443

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851110797
MI

Other

Enumeration date
05/11/2021
Last updated
03/14/2022
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