Individual
MR. CODY DANIEL BAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
925 W COLLEGE AVE, STATE COLLEGE, PA 16801-2804
(814) 380-4697
Mailing address
109 GRIZZLY LN, MADISONBURG, PA 16852-8013
(814) 380-4697
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019434
PA
1041C0700X
Clinical Social Worker
LC13953
ME
Other
Enumeration date
10/21/2010
Last updated
03/23/2018
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