T Ishimatsu Pllc

NPI #1427448851 in Taylorsville, Utah

Provider Information

NPI Number
1427448851
Entity Type
Organization
Organization Name
T Ishimatsu Pllc
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jan 23, 2015
Last Updated
Feb 25, 2015

Practice Location

Address
2832 W 4700 S
Address 2
SUITE B
State
Utah
ZIP Code
84129-2155
Phone
(801) 550-5428

Authorized Official

Name
MS. TAMMY ISHIMATSU, LCSW
Title
OWNER/AGENT
Phone
(801) 550-5428

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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