Individual
MALLORIE BORUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1188 W SPORTSPLEX DR STE 203, KAYSVILLE, UT 84037-6817
(801) 510-5049
Mailing address
1188 W SPORTSPLEX DR STE 203, KAYSVILLE, UT 84037-6817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7638988-3501
UT
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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