Individual
MRS. MARTINA E BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7533 S CENTER VIEW CT # 4758, WEST JORDAN, UT 84084-5526
(801) 718-9647
(801) 373-0639
Mailing address
7533 S CENTER VIEW CT # 4758, WEST JORDAN, UT 84084-5526
(801) 718-9647
(801) 373-0639
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11197721-3501
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
UT
Other
Enumeration date
02/12/2016
Last updated
05/13/2025
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