Individual
MRS. MYRIAM L BARDSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 E 400 S, SPRINGVILLE, UT 84663-1922
(385) 325-2428
(801) 489-8960
Mailing address
217 E 1400 N, MAPLETON, UT 84664-3853
(385) 325-2428
(801) 489-8960
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
94072703501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870285565012
—
UT
Enumeration date
09/29/2014
Last updated
07/01/2024
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