Individual
MRS. AMY ANN MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
413 ALLUMBAUGH ST, 102, BOISE, ID 83704-9212
(208) 287-0993
(208) 287-0996
Mailing address
413 ALLUMBAUGH ST, 102, BOISE, ID 83704-9212
(208) 287-0993
(208) 287-0996
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW26835
ID
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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