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Individual

GERALD BAIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1790 N STATE ST, OREM, UT 84057-2025
(888) 224-8250
Mailing address
1420 WESTBURY WAY APT J, LEHI, UT 84043-4763
(385) 208-2746

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12905660-6004
UT
101YM0800X
Mental Health Counselor
LCPC-9052
ID

Other

Enumeration date
05/30/2019
Last updated
03/22/2024
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