Individual
AMANDA LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
645 PARFET ST, LAKEWOOD, CO 80215-5574
(303) 232-6301
Mailing address
645 PARFET ST, LAKEWOOD, CO 80215-5574
(303) 232-6301
(310) 264-6647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW 30956
CA
104100000X
Social Worker
LSW.0009922458
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09927200
CO
Other
Enumeration date
07/06/2012
Last updated
05/06/2021
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