Miss. Amanda Blake Rennaker
Miss. Amanda Blake Rennaker is a Clinical Social Worker in Durango, Colorado. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1309 E 3rd Ave Unit B-5Durango, CO 81301-5255
Phone: (414) 315-0897
Fax: (303) 617-2365
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1114449063 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 12, 2017 |
| Last updated in NPPES | October 19, 2022 |
| Certification date | October 19, 2022 |
| Mailing address | 725 E College Dr Unit 2, Durango, CO 81301-5570 |
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