Borage Wellness Center | |
4646 S 3500 W Ste 2 West Haven UT 84401-9405 | |
(801) 719-9410 | |
Not Available |
Full Name | Borage Wellness Center |
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Speciality | Social Worker - Clinical |
Location | 4646 S 3500 W Ste 2, West Haven, Utah |
Authorized Official Name and Position | Abree Sepulveda Mize (OWNER, CLINICIAN) |
Authorized Official Contact | 8017199410 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Borage Wellness Center 4646 S 3500 W Ste 2 West Haven UT 84401-9405 Ph: (801) 719-9410 | Borage Wellness Center 4646 S 3500 W Ste 2 West Haven UT 84401-9405 Ph: (801) 719-9410 |
NPI Number | 1316638117 |
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Provider Enumeration Date | 05/15/2023 |
Last Update Date | 07/03/2024 |
Certification Date | 07/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316638117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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