Individual
MISS AMANDA BLAKE RENNAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 E 3RD AVE UNIT B-5, DURANGO, CO 81301-5255
(414) 315-0897
(303) 617-2365
Mailing address
725 E COLLEGE DR UNIT 2, DURANGO, CO 81301-5570
(303) 617-2300
(303) 617-2365
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
10/19/2022
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