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Individual
VICKIE D SORENSEN
Active
Individual
VICKIE D SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDEM CPM
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
176B00000X
Midwife
Primary
8858598-3400
UT
261QB0400X
Birthing Clinic/Center
—
—
Other
Enumeration date
01/23/2009
Last updated
02/04/2014
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