Individual
AMANDA ELISE DEMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 7TH AVE, GREELEY, CO 80631-6195
(210) 303-1175
Mailing address
1422 FAIRFIELD AVE, WINDSOR, CO 80550-5818
(210) 303-1175
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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