Individual
JULIA V LIDGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 WAKARA WAY, SALT LAKE CITY, UT 84108-1436
(801) 581-2121
Mailing address
2865 EVERGREEN AVE, SALT LAKE CITY, UT 84109-3176
(801) 463-7582
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
313820-4102
UT
Other
Enumeration date
11/03/2006
Last updated
12/15/2021
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