Individual
MRS. BAILEY DUTKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
120 MOUNTAIN LION TRACK CT, LIVERMORE, CO 80536-7662
(970) 999-4258
Mailing address
120 MOUNTAIN LION TRACK CT, LIVERMORE, CO 80536-7662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09926149
CO
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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