AMBRYA ANDE WHITE

REXBURG, ID
NPI1144972753
Former NameAMBRYA ANDE SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  8861841)
Additional Taxonomies104100000X Social Worker
(Licence: ID  LMSW-41727)
Enumeration Date2022-01-25
Last Update Date2025-02-05
Business Address
AMBRYA ANDE WHITE LCSW
393 E 2ND N
REXBURG, ID 83440-1605
Phone number: 208-359-4840
Mailing Address
AMBRYA ANDE WHITE LCSW
393 E 2ND N
REXBURG, ID 83440-1605
Phone number: 208-359-4840