BRIAN TANNER TIMBERLAKE

ROOSEVELT, UT
NPI1497444855
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2023-05-02
Last Update Date2023-05-02
Business Address
BRIAN TANNER TIMBERLAKE
285 W 800 S
ROOSEVELT, UT 84066-3707
Phone number: 435-725-6300
Mailing Address
BRIAN TANNER TIMBERLAKE
1140 W 500 S STE 9
VERNAL, UT 84078-2912
Phone number: 435-725-6300
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