Individual
AMANDA KAY NEIBAUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9474 W FAIRVIEW AVE, BOISE, ID 83704-8101
(208) 378-8046
(208) 908-0094
Mailing address
6855 W FAIRVIEW AVE, BOISE, ID 83704-8046
(208) 323-8888
(208) 323-8889
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-31593
ID
Other
Enumeration date
02/25/2014
Last updated
02/07/2024
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