NPI 1053629022

Timothy Hal Worthen

Practitioner Foster Care Agency Brigham City, UT

Practice location

Address: 862 South Main St., Brigham City, UT 84302
Phone: (435) 723-1799

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X

Other Foster Care Agency providers in Utah →

Registry record

NPI: 1053629022
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Sep 2010
Record last updated: 23 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.