Individual
MR. ERIC BOWEN TEDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
20971 E SMOKY HILL RD, STE 215, CENTENNIAL, CO 80015-5186
(720) 427-0731
(720) 367-5239
Mailing address
20971 E SMOKY HILL RD, STE 215, CENTENNIAL, CO 80015-5186
(720) 427-0731
(720) 367-5239
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
991729
CO
Other
Enumeration date
08/05/2006
Last updated
03/21/2008
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