Individual
AMANDA E PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1544 ELMIRA ST, AURORA, CO 80010-2116
(303) 617-2300
Mailing address
1460 N PENNSYLVANIA ST UNIT 2, DENVER, CO 80203-2012
(315) 854-4046
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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