Provider Information for 1992502512
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Mrs. AMY YAEGER MCMANUS LCSW
Sex: Female
NPI: 1992502512
Last Updated: 2025-03-01
Certification Date: 2025-03-01
Certification Date: 2025-03-01
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1992502512 | ||||||||
| Enumeration Date | 2025-03-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3442 E 81ST S IDAHO FALLS, ID 83406-8302 United States Phone: 813-992-0322 | Fax: | ||||||||
| Primary Practice Address | 3442 E 81ST S IDAHO FALLS, ID 83406-8302 United States Phone: 813-992-0322 | Fax: | ||||||||
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