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Individual

BAILLEY OGLES DICKERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
117 W 200 S, FARMINGTON, UT 84025-2327
(801) 837-8254
Mailing address
76 E RICE LN, FARMINGTON, UT 84025-2133
(801) 837-8254

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12883761-3501
UT

Other

Enumeration date
04/10/2024
Last updated
12/12/2025
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