Individual
MS. AMANDA BREAUX GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1940 LAURA CIR, TWIN FALLS, ID 83301-7009
(208) 539-4900
Mailing address
457 BLUE LAKES BLVD S, TWIN FALLS, ID 83301-7855
(208) 539-4900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-39608
ID
Other
Enumeration date
10/06/2017
Last updated
04/04/2025
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