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Individual

MRS. AMY LEE GUZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
1118 F ST, LEWISTON, ID 83501-1930
(208) 791-1270
(208) 799-5171
Mailing address
1118 F ST, LEWISTON, ID 83501-1930
(208) 791-1270
(208) 799-5171

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-35984
ID

Other

Enumeration date
10/03/2016
Last updated
10/03/2016
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