Individual
ETHAN SELVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
7701 SHERIDAN BLVD, WESTMINSTER, CO 80003-2605
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1686
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26385031
—
CO
Enumeration date
10/06/2014
Last updated
06/13/2021
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