Individual
ALICIA TADIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-2045
(720) 777-7888
Mailing address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-2045
(720) 777-7888
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009920010
CO
225400000X
Rehabilitation Practitioner
—
—
374700000X
Technician
—
—
Other
Enumeration date
08/07/2007
Last updated
01/17/2017
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