Amanda Jill Siems, L.S.W

NPI #1689871089 in Chubbuck, Idaho

Provider Information

NPI Number: 1689871089
Entity Type: Individual
Name: Amanda Jill Siems, L.S.W
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: L.S.W
Enumeration Date: Jun 29, 2007
Last Updated: Feb 2, 2010

Practice Location

Address: 4815 GALENA ST
City: Chubbuck
State: Idaho
ZIP Code: 83202-3008
Phone: (208) 406-3683

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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