Individual
MISS AMY LEE ANNESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2095 W 6TH AVE STE 213, BROOMFIELD, CO 80020-1881
(720) 419-4473
Mailing address
2095 W 6TH AVE STE 213, BROOMFIELD, CO 80020-1881
(720) 419-4473
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3367
OK
1041C0700X
Clinical Social Worker
Primary
CSW.09923137
CO
Other
Enumeration date
05/15/2007
Last updated
07/21/2022
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