Individual
BAYLEE FROERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(801) 263-7101
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(435) 230-1151
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10836981-3503
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260022408
RAILROAD MEDICARE
UT
05
—
876000308007
—
UT
Enumeration date
12/15/2016
Last updated
06/12/2018
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