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1770146680
THADDEUS FRYE
BOULDER, CO
NPI
1770146680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO CSW.00001285)
Enumeration Date
2019-04-16
Last Update Date
2022-07-17
Business Address
THADDEUS FRYE LCSW
1320 ITHACA DR
BOULDER, CO 80305-6334
Phone number: 130-335-8950
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Mailing Address
THADDEUS FRYE LCSW
1320 ITHACA DR
BOULDER, CO 80305-6334
Phone number: 303-358-9507
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