Individual
MRS. KATHLEEN DIANE BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
1525 LINCOLN AVE, OGDEN, UT 84404-5638
(801) 621-6510
Mailing address
1525 LINCOLN AVE, OGDEN, UT 84404-5638
(801) 621-6510
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8698408-3904
UT
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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