Individual
AMANDA PAIGE BRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
132 5TH AVE W STE 1AND2, JEROME, ID 83338-1825
(208) 814-9800
Mailing address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-4433
(208) 934-4371
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-41503
ID
104100000X
Social Worker
LMSW-36234
ID
Other
Enumeration date
03/28/2018
Last updated
04/22/2022
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