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Individual

WILLIAM DOUGLAS FREA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
6672 GUNPARK DRIVE, SUITE 100, BOULDER, CO 80301
(303) 530-4972
Mailing address
6672 GUNPARK DRIVE, SUITE 100, BOULDER, CO 80301
(303) 530-4972

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3520
103TC0700X
Clinical Psychologist
3409
CO

Other

Enumeration date
01/20/2012
Last updated
10/08/2014
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