Individual
AMANDA NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 717-4600
Mailing address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
09/15/2019
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