Individual
MANAMI ISHIKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6767 W TROPICANA AVE STE 100, LAS VEGAS, NV 89103-4755
(702) 209-0370
Mailing address
5915 S RAINBOW BLVD STE 105, LAS VEGAS, NV 89118-2558
(702) 209-0370
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9584-C
NV
Other
Enumeration date
08/03/2018
Last updated
05/02/2023
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