Individual
AMANDA MARTIN HITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3446 BEELER CT, DENVER, CO 80238-3488
(312) 399-8162
Mailing address
3446 BEELER CT, DENVER, CO 80238-3488
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124053210
DAVITA
—
01
—
44444444
DAVITA DIALYSIS
CO
01
—
DAVITA
DAVITA
—
Enumeration date
02/06/2020
Last updated
02/06/2020
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