Individual
AMY LYNDA JAIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3500 1ST ST S, LAMAR, CO 81052-4327
(719) 336-7501
(719) 336-7453
Mailing address
1603 S 12TH ST, LAMAR, CO 81052-4044
(719) 336-3647
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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