Individual
AMY BEITIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
320 MAGNOLIA AVE, FRUITLAND, ID 83619-5080
(208) 250-7059
Mailing address
320 MAGNOLIA AVE, FRUITLAND, ID 83619-5080
(208) 250-7059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L7925
OR
1041C0700X
Clinical Social Worker
Primary
LCSW-38281
ID
Other
Enumeration date
11/20/2014
Last updated
08/24/2022
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