DR. Lacey Bagley, LMFT

NPI #1174195697 in Provo, Utah

Provider Information

NPI Number
1174195697
Entity Type
Individual
Name
DR. Lacey Bagley, LMFT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Credential
LMFT
Enumeration Date
Jul 14, 2021
Last Updated
Jul 14, 2021

Practice Location

Address
363 S 400 W
City
Provo
State
Utah
ZIP Code
84601-4342
Phone
(509) 521-1536

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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