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Individual

JONI D BICKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
54 N 200 E, CEDAR CITY, UT 84720-2615
(435) 586-2515
(435) 865-7606
Mailing address
54 NORTH 100 EAST, CEDAR CITY, UT 84720-3091
(435) 586-2515
(435) 865-7606

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4810438-3501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4810438-3501
LCSW LICENSE
UT
01
4810438-3502
CSW LICENSE
UT
01
THOMAJ
SWBHC STAFF CODE
UT
Enumeration date
06/25/2007
Last updated
12/12/2019
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