Individual
SAMUEL WORTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(888) 949-4864
Mailing address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9410463-6004
UT
Other
Enumeration date
03/08/2011
Last updated
07/31/2024
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