Individual
BAILEY TERRESE SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 S HIGHLAND DR, COTTONWOOD HEIGHTS, UT 84121-3060
(801) 935-4171
(801) 935-4946
Mailing address
4081 W 1235 S, SYRACUSE, UT 84075-8657
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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