Individual
MRS. AMY JENNIVER RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2950 TENNYSON ST, DENVER, CO 80212-3029
(303) 396-9907
Mailing address
2950 TENNYSON ST, DENVER, CO 80212-3029
(303) 339-9907
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.00001626
CO
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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