Individual
AMANDA GABRIELLE KACENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 W OHIO AVE # B, FOUNTAIN, CO 80817-2240
(719) 695-0044
Mailing address
2950 SHOREHAM CIR, COLORADO SPRINGS, CO 80906-4421
(312) 590-7140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09925411
CO
Other
Enumeration date
06/18/2010
Last updated
09/27/2023
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