Organization
AMY ANNESLEY, LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY L ANNESLEY LCSW (SOLE PROVIDER)
(720) 419-4473
Entity
Organization
Contact information
Practice address
2095 W 6TH AVE STE 213, BROOMFIELD, CO 80020-1881
(720) 419-4473
Mailing address
825 MARBLE ST, BROOMFIELD, CO 80020-1762
(720) 419-4473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09923137
CO
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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