Individual
MRS. MARY PATRICIA AMEDEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 ISLAND LN, EVERGREEN, CO 80439-8969
(303) 670-3682
Mailing address
2110 ISLAND LN, EVERGREEN, CO 80439-8969
(303) 670-3682
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
106H00000X
CO
Other
Enumeration date
12/26/2010
Last updated
12/26/2010
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