Individual
AMY LEIGH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1950 TRENTON ST, #412, DENVER, CO 80220-2064
(989) 430-7859
Mailing address
1950 TRENTON ST, #412, DENVER, CO 80220-2064
(989) 430-7859
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1432
CO
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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