Individual
MR. FREDERICK THOMAS BAILEY IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9281 LILLIAN LN, THORNTON, CO 80229-7680
(773) 401-5775
Mailing address
9281 LILLIAN LN, THORNTON, CO 80229-7680
(773) 401-5775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09926198
CO
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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