Individual
AMANDA HARSHBARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E IDAHO ST, BOISE, ID 83712-6267
(208) 381-3982
Mailing address
100 E IDAHO ST, BOISE, ID 83712-6267
(208) 381-3982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
35652
ID
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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