THADDEUS FRYE

BOULDER, CO
NPI1770146680
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CO  CSW.00001285)
Enumeration Date2019-04-16
Last Update Date2022-07-17
Business Address
THADDEUS FRYE LCSW
1320 ITHACA DR
BOULDER, CO 80305-6334
Phone number: 130-335-8950
Mailing Address
THADDEUS FRYE LCSW
1320 ITHACA DR
BOULDER, CO 80305-6334
Phone number: 303-358-9507