Individual
DARCEY BARDSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 NORTH 180 WEST, EPHRAIM, UT 84627-1111
(435) 283-0164
(435) 283-2213
Mailing address
66 NORTH 180 WEST, EPHRAIM, UT 84627-1111
(435) 283-0164
(435) 283-2213
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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