Individual
GRACE EDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
730 W HAMPDEN AVE STE 200, ENGLEWOOD, CO 80110-2129
(720) 974-7466
(303) 953-7274
Mailing address
3600 S YOSEMITE ST STE 1050, DENVER, CO 80237-1852
(303) 667-4557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09924671
CO
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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