Individual
BAYLEE LICHELLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 S MAIN ST, SALT LAKE CITY, UT 84115-5313
(801) 706-6895
Mailing address
1415 S MAIN ST, SALT LAKE CITY, UT 84115-5313
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
11/22/2022
Last updated
11/22/2022
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