Individual
AMY MARIE SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
21275 E 61ST DR, AURORA, CO 80019-2326
(720) 978-7204
Mailing address
21275 E 61ST DR, AURORA, CO 80019-2326
(720) 978-7204
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009925234
CO
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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