Luis, Mandy J

Luis, Mandy J is an sole proprietor health care provider with primary practice located at 550 2Nd St Suite 292, Idaho Falls ID 83401-3900. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Luis, Mandy J can be contacted via phone (208) 529-2211.

Contact Information

Primary practice address
550 2Nd St Suite 292 Idaho Falls ID 83401-3900
Phone: (208) 529-2211
Fax: (208) 529-4647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LSW24674 Idaho

Profile Details

NPI number 1811105042
LBN Legal business name Luis, Mandy J
Credentials LSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2007
Last updated Jul 8th, 2007 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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