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Individual
DAVID SORENSEN
Active
Individual
DAVID SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-IT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7143-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3026-226
WISCONSIN LICENSED PROFESSIONAL COUNSELOR LICENSE
WI
Enumeration date
06/02/2016
Last updated
10/25/2018
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