Individual
ANDREA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
350 E. 300 S., #100 ROCKY MOUNTAIN CARE, BOUNTIFUL, UT 84010
(801) 397-4166
(801) 397-4195
Mailing address
972 CHAMBERS ST, STE 5, SOUTH OGDEN, UT 84403-4872
(801) 397-4166
(801) 397-4195
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
283182-3501
UT
Other
Enumeration date
03/18/2009
Last updated
08/26/2019
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