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Individual

MS. AMY M SMART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW, CACLLI

Contact information

Practice address
500 COFFMAN ST STE 207, LONGMONT, CO 80501-5445
(720) 232-0406
(720) 232-0406
Mailing address
1121 MERCURY DR, LAFAYETTE, CO 80026-8809
(303) 665-8932

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6624
CO
1041C0700X
Clinical Social Worker
Primary
1278
CO

Other

Enumeration date
01/18/2007
Last updated
10/12/2011
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