Individual
AMANDA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
123 N YALE ST, NAMPA, ID 83651-2340
(208) 585-3375
(208) 585-6152
Mailing address
1650 W TARGEE ST UNIT 5862, BOISE, ID 83705-5635
(707) 815-3015
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-43697
ID
Other
Enumeration date
02/18/2020
Last updated
04/17/2025
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