AMANDA LOUISE RUSSELL

SANDPOINT, ID
NPI1851841969
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-38205)
Additional Taxonomies104100000X Social Worker
(Licence: ID  LMSW36080)
Enumeration Date2016-10-12
Last Update Date2024-03-05
Business Address
AMANDA LOUISE RUSSELL LCSW
1218 N DIVISION AVE STE 217
SANDPOINT, ID 83864-5054
Phone number: 208-610-6459
Mailing Address
AMANDA LOUISE RUSSELL LCSW
1317 PROMINENCE CT
SANDPOINT, ID 83864-5412
Phone number: 208-610-6459