Individual
AUBURN AMANDA ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1013 SAGE ST, EVANSTON, WY 82930-3448
(208) 995-5003
Mailing address
1013 SAGE ST, EVANSTON, WY 82930-3448
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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