Individual
MS. AMANDA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
(303) 413-6325
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
(303) 413-6325
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09923504
CO
Other
Enumeration date
02/11/2016
Last updated
07/27/2016
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