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Organization

BORAGE WELLNESS CENTER LLC

Active
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Organization

BORAGE WELLNESS CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABREE MIZE (OWNER)
(801) 719-9410
Entity
Organization

Contact information

Practice address
4646 S 3500 W STE 2, WEST HAVEN, UT 84401-9405
(801) 719-9410
Mailing address
3490 W 3300 S, WEST HAVEN, UT 84401-9232
(801) 719-9410

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—

Other

Enumeration date
05/15/2023
Last updated
06/02/2026
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