Cedra D Etesam, LSW

NPI #1306558184 in Ignacio, Colorado

Provider Information

NPI Number
1306558184
Entity Type
Individual
Name
Cedra D Etesam, LSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LSW
Enumeration Date
Dec 23, 2022
Last Updated
Apr 22, 2025

Practice Location

Address
15682 STATE HIGHWAY 172 LOT 34
ZIP Code
81137-9742
Phone
(970) 426-9591

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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