Individual
SEAN TIMOTHY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
252 S 500 E, SALT LAKE CITY, UT 84102-2030
(801) 236-7738
Mailing address
11714 S SUN TEA WAY, SOUTH JORDAN, UT 84095-8182
(801) 386-3626
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/28/2012
Last updated
10/28/2012
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