Individual
LYDIA MIDGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1108 W SOUTH JORDAN PKWY STE B, SOUTH JORDAN, UT 84095-5505
(801) 755-5531
(801) 409-7908
Mailing address
1108 W SOUTH JORDAN PARKWAY, STE B, SOUTH JORDAN, UT 84095-1215
(801) 755-5531
(801) 409-7908
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6623582-3502
UT
1041C0700X
Clinical Social Worker
Primary
6623582-3501
UT
Other
Enumeration date
06/06/2007
Last updated
07/21/2022
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