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Individual

ERIC LEE BOUWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
7701 SHERIDAN BLVD, WESTMINSTER, CO 80003-2605
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
720
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023779
KAISER COMMERCIAL NUMBER
CO
05
23378824
CO
Enumeration date
03/21/2012
Last updated
06/08/2021
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