Individual
AMELIA DOTY-JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1520 W STATE ST, BOISE, ID 83702-4085
(208) 947-7700
Mailing address
1520 W STATE ST, BOISE, ID 83702-4085
(208) 761-7655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10373
LA
1041C0700X
Clinical Social Worker
Primary
36922
ID
Other
Enumeration date
08/12/2015
Last updated
08/23/2019
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