Individual
AMANDA NOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 W FRONT ST, BOISE, ID 83702-7300
(208) 391-3447
Mailing address
PO BOX 6775, BOISE, ID 83707-0775
(208) 391-3447
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-40896
ID
Other
Enumeration date
05/14/2019
Last updated
11/13/2025
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