Individual
MISS SAMANTHA ALEXIS SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3725 W 4100 S STE 250, WEST VALLEY CITY, UT 84120-5434
(801) 582-5534
Mailing address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 428-4257
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13419934-3501
UT
Other
Enumeration date
05/27/2021
Last updated
03/20/2025
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