Individual
MRS. AMY LOUELLA GOWANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N CURTIS RD STE 202, BOISE, ID 83706-1346
(208) 283-7314
(208) 550-3204
Mailing address
9721 W KAMPTON DR, BOISE, ID 83704-4130
(208) 340-9313
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LM43059
ID
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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