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1023528791
AMANDA BREAUX GRAY
TWIN FALLS, ID
NPI
1023528791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-39608)
Enumeration Date
2017-10-06
Last Update Date
2020-07-05
Business Address
Ms. AMANDA BREAUX GRAY LMSW
1940 LAURA CIR
TWIN FALLS, ID 83301-7009
Phone number: 208-539-4900
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Mailing Address
Ms. AMANDA BREAUX GRAY LMSW
457 BLUE LAKES BLVD S
TWIN FALLS, ID 83301-7855
Phone number: 208-539-4900
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