Amanda Lee Darasouk
NPI #1235591603 in Grand Junction, Colorado
Provider Information
- NPI Number
- 1235591603
- Entity Type
- Individual
- Name
- Amanda Lee Darasouk
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Mar 24, 2016
- Last Updated
- Mar 24, 2016
Practice Location
- Address
- 515 28 3/4 RD
- City
- Grand Junction
- State
- Colorado
- ZIP Code
- 81501-5016
- Phone
- (970) 241-6023
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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