Individual
AMANDA PHANNADETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6535 S DAYTON ST STE 2900, GREENWOOD VILLAGE, CO 80111-6135
(720) 895-1000
Mailing address
10350 DOVER ST APT H26, WESTMINSTER, CO 80021-5506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09931719
CO
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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