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1174195697
LACEY BAGLEY
PROVO, UT
NPI
1174195697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 109718443902)
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
Dr. LACEY BAGLEY LMFT
363 S 400 W
PROVO, UT 84601-4342
Phone number: 509-521-1536
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Mailing Address
Dr. LACEY BAGLEY LMFT
363 S 400 W
PROVO, UT 84601-4342
Phone number: 509-521-1536
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