Individual
AMBER VANDERBEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21 E MAPLE ST, HAILEY, ID 83333-4900
(208) 788-3200
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(716) 332-2820
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
00106959
NY
1041C0700X
Clinical Social Worker
Primary
LCSW-43234
ID
Other
Enumeration date
02/18/2021
Last updated
04/21/2023
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