Individual
AMY R STAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1401 PHAY AVE, CANON CITY, CO 81212-2303
(888) 948-6789
(877) 345-3501
Mailing address
4860 ROBB ST STE 201, WHEAT RIDGE, CO 80033-2162
(888) 948-6789
(877) 345-3501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09925821
CO
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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