WILLIAM TIETJEN HEREM

LOGAN, UT
NPI1952199119
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2025-04-28
Last Update Date2026-01-26
Business Address
WILLIAM TIETJEN HEREM
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
Mailing Address
WILLIAM TIETJEN HEREM
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750