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Individual

AMANDA LEA SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
8400 W FAIRVIEW AVE, BOISE, ID 83704-8317
(208) 322-5859
(208) 322-5901
Mailing address
8400 W FAIRVIEW AVE, BOISE, ID 83704-8317
(208) 322-5859
(208) 322-5901

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4272
ID

Other

Enumeration date
03/02/2011
Last updated
03/02/2011
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