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Individual

VAUGHN E WORTHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1545 WSC, PROVO, UT 84602-7924
(801) 471-6266
Mailing address
1251 CREST DALE LN, SANTAQUIN, UT 84655-5527
(801) 471-6266

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
327100-2501
UT

Other

Enumeration date
02/20/2020
Last updated
02/20/2020
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