Individual
EDWIN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 UNION BLVD STE 300, LAKEWOOD, CO 80228-6514
(917) 494-9604
Mailing address
261 HUDSON ST, DENVER, CO 80220-5833
(917) 494-9604
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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