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Organization

CREATE HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DORANN C MITCHELL LCSW (OWNER)
(801) 518-3497
Entity
Organization

Contact information

Practice address
885 W BAXTER DR, SOUTH JORDAN, UT 84095-8506
(801) 518-3497
(801) 446-3515
Mailing address
562 E LAND RUSH DR, MIDVALE, UT 84047-4649
(801) 518-3497
(801) 446-3515

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
141768-3501
UT

Other

Enumeration date
11/18/2016
Last updated
11/18/2016
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