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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CEDRA D ETESAM, LSW

Active

CEDRA D ETESAM, LSW is a Clinical Social Worker healthcare provider located in IGNACIO, Colorado. NPI 1306558184 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · IGNACIO, CO

Registration Details

NPI Number
1306558184
Provider Type
Individual
Gender
Female
NPI Issued
Dec 23, 2022 (3.4574361742907 yrs)
Last Updated
Apr 22, 2025
License
0009925857 (CO)

Practice Information

Address
15682 STATE HIGHWAY 172 LOT 34
IGNACIO, CO, 811379742
Browse CO providers · Browse ZIP 81137
Phone
9704269591
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in IGNACIO, CO

Name Credential NPI
HANNAH MARIE NUSZ LMSW 1275805533
AARON EDENSHAW LCSW 1730544099
TERRENCE RIOS WORD LCSW 1982405932
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.