Individual
AMY A WADGINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BEHAVIORAL SUPPORT
Contact information
Practice address
215 SAINT PAUL ST, STE. 205, DENVER, CO 80206-5124
(303) 333-4062
(303) 333-4097
Mailing address
300 E 17TH AVE, 1027, DENVER, CO 80203-1233
(619) 997-5216
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
CO
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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