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Individual

AMANDA ARIEL LAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1246 YELLOWSTONE AVE STE C3, POCATELLO, ID 83201-4373
(208) 233-1276
Mailing address
1069 MALIBOU ST, POCATELLO, ID 83201-2813
(562) 896-1683

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8921909
ID

Other

Enumeration date
12/08/2025
Last updated
12/08/2025
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