Individual
TY EDWARDS GRAEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8020
Mailing address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW.09926025
CO
Other
Enumeration date
05/18/2021
Last updated
05/24/2022
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