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1457946915
AMANDA RAE VANTILBURG
COLORADO SPRINGS, CO
NPI
1457946915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: HI LCSW-4518)
Enumeration Date
2021-03-06
Last Update Date
2022-05-07
Business Address
AMANDA RAE VANTILBURG LCSW
878 ALTAMONT RIDGE DR
COLORADO SPRINGS, CO 80921-8414
Phone number: 254-394-4908
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Mailing Address
AMANDA RAE VANTILBURG LCSW
878 ALTAMONT RIDGE DR
COLORADO SPRINGS, CO 80921-8414
Phone number: 254-394-4908
Copy
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