Individual
MR. CARL JASON SORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
81 N 300 E, MOAB, UT 84532-2419
(435) 612-0788
Mailing address
PO BOX 1568, MOAB, UT 84532-1568
(435) 612-0788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
66175663501
UT
Other
Enumeration date
07/16/2009
Last updated
01/17/2013
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