IndividualActive
Amanda Clark
NPI 1740044007 · Clinical Social Worker · Salmon, ID
Provider details
- NPI number
- 1740044007
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
207 Fairmont St
Salmon, ID 83467-3932
Phone: (801) 833-8767
Approximate (ZIP-level) locationGet directions
Mailing address
207 Fairmont St
Salmon, ID 83467-3932
Registry dates
- Enumerated
- 2024-02-07
- Last updated
- 2024-02-07
- Certified
- 2024-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.