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Individual

BAILEE GACIOCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1825 W 4400 S, ROY, UT 84067-3065
(801) 648-0816
Mailing address
3277 W 775 N, LAYTON, UT 84041-8800
(801) 648-0816

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11275769-3501
UT

Other

Enumeration date
02/29/2024
Last updated
01/23/2025
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