Cedra D Etesam, LSW Valid NPI
Individual provider · Clinical Social Worker · Ignacio, CO
- NPI
- 1306558184
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 0009925857 (CO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-12-23
- Last updated
- 2025-04-22
Practice location
15682 State Highway 172 Lot 34
Ignacio, CO 81137-9742
(970) 426-9591