Whalio Doctors

NPI 1023528791

Amanda Breaux Gray, LMSW

Practitioner Clinical Social Worker Twin Falls, ID

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
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCSW-39608 (ID)

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.