Individual
AMANDA BAADSGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
632 E CHALK CREEK RD, COALVILLE, UT 84017-9706
(801) 400-4221
Mailing address
632 E CHALK CREEK RD, COALVILLE, UT 84017-9706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
108947104102
UT
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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