Individual
BAILEY FROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
28 WINTER ST, NORWAY, ME 04268
(207) 739-2021
Mailing address
70 PINE ST, FRYEBURG, ME 04037-1319
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
OT3276
ME
Other
Enumeration date
02/16/2017
Last updated
10/07/2019
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