Individual
MS. BRIDGET DOMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 S KOMAS DR, SUITE 200, SALT LAKE CITY, UT 84108-1215
(801) 585-1943
Mailing address
650 S. KOMAS DRIVE, STE 200, SALT LAKE CITY, UT 84108
(801) 585-1943
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
02/16/2018
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