Individual
AMANDA LOVELESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
725 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5286
(208) 346-7500
Mailing address
2096 MEADOW ST, IDAHO FALLS, ID 83401-4449
(208) 242-8209
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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