AMANDA GROVE

BOISE, ID
NPI1326460999
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  42528)
Additional Taxonomies104100000X Social Worker
(Licence: ID  31356)
Enumeration Date2014-01-15
Last Update Date2023-02-07
Business Address
AMANDA GROVE LMSW
1005 E PARK BLVD
BOISE, ID 83712-7722
Phone number: 208-358-9020
Mailing Address
AMANDA GROVE LMSW
1005 E PARK BLVD
BOISE, ID 83712-7722
Phone number: 208-358-9020