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Individual

MRS. LYDIA ANNE BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
121 W ELECTION RD STE 110, DRAPER, UT 84020-7706
(801) 525-4645
Mailing address
1003 FARNHAM DR, NORTH SALT LAKE, UT 84054-6118
(435) 660-0437

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13412243-3501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0
UT
Enumeration date
07/12/2021
Last updated
03/28/2025
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