AMANDA BLAKE RENNAKER

DURANGO, CO
NPI1114449063
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
Enumeration Date2017-07-12
Last Update Date2022-10-19
Business Address
MISS AMANDA BLAKE RENNAKER
1309 E 3RD AVE UNIT B-5
DURANGO, CO 81301-5255
Phone number: 414-315-0897
Mailing Address
MISS AMANDA BLAKE RENNAKER
725 E COLLEGE DR UNIT 2
DURANGO, CO 81301-5570
Phone number: 303-617-2300