Individual
AMY FOWLER-FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
21522 NEEDLES LN, PARKER, CO 80138-7275
(303) 842-3551
Mailing address
21522 NEEDLES LN, PARKER, CO 80138-7275
(303) 842-3551
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009923727
CO
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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