NPI 1023528791
Amanda Breaux Gray, LMSW
Practice location
- Address
- 1940 Laura Cir, Twin Falls, ID 83301-7009
- Phone
- (208) 539-4900
- Mailing address
- 457 Blue Lakes Blvd S, Twin Falls, ID 83301-7855
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1023528791
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Oct 2017
- Record last updated
- 4 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.