Individual
AMY LYNN YAMEOGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
545 N BENJAMIN LN, BOISE, ID 83704-9623
(208) 322-1026
Mailing address
2325 N BLUEBLOSSOM WAY, KUNA, ID 83634-5078
(208) 258-4762
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2171058
ID
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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