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Individual

MISS AMANDA RAYE LINAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
7710 N UNION BLVD STE 202, COLORADO SPRINGS, CO 80920-4085
(719) 494-7412
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/24/2012
Last updated
06/14/2019
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