BRIAN TANNER TIMBERLAKE

ROOSEVELT, UT
NPI1497444855
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  9853642-3501)
Enumeration Date2023-05-02
Last Update Date2026-07-13
Business Address
BRIAN TANNER TIMBERLAKE
290 W 800 S
ROOSEVELT, UT 84066
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