Individual
L STEPHEN AMMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2500 W KOOTENAI ST, BOISE, ID 83705-2408
(208) 908-0500
(208) 908-0580
Mailing address
10332 DUCK LN, NAMPA, ID 83686-9174
(360) 969-2707
(208) 908-0580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW35504
ID
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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