| Borage Welness Center | |
|
5125 S 1500 W Riverdale UT 84405-3926 | |
| (801) 719-9410 | |
| Not Available |
| Full Name | Borage Welness Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5125 S 1500 W, Riverdale, 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 |
|---|---|
| Borage Welness Center 5125 S 1500 W Riverdale UT 84405-3926 Ph: (801) 719-9410 | Borage Welness Center 5125 S 1500 W Riverdale UT 84405-3926 Ph: (801) 719-9410 |
| NPI Number | 1316638117 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316638117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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