Individual
BRADFORD WYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 E PATRICK ST, FREDERICK, MD 21701-5614
(240) 357-5453
Mailing address
309 E PATRICK ST, FREDERICK, MD 21701-5614
(240) 357-5453
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16482
MD
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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