Individual
WILLIAM TIM GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13691 S BROWN FARM LN, DRAPER, UT 84020-7809
(801) 407-0047
Mailing address
13691 S BROWN FARM LN, DRAPER, UT 84020-7809
(385) 695-1606
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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