Individual
AMANDA ROSE SUTLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1224 WASHINGTON AVE STE 205A, SANDPOINT, ID 83864-5055
(208) 290-4718
(208) 277-3172
Mailing address
1224 WASHINGTON AVE STE 205A, SANDPOINT, ID 83864-5055
(208) 290-4718
(208) 277-3172
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-42978
ID
Other
Enumeration date
06/10/2019
Last updated
06/14/2023
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