Individual
DR. ROBERT BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
32 W WINCHESTER ST, SUITE 101, SALT LAKE CITY, UT 84107-5607
(801) 263-6367
(801) 263-6370
Mailing address
5662 SHADY FARM LN, MURRAY, UT 84107-6714
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6119664-3904
UT
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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