Individual
MARY JO SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
2661 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-5407
(715) 723-5585
Mailing address
2661 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-5407
(715) 723-5585
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
709-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41006500
—
WI
Enumeration date
12/19/2006
Last updated
09/14/2007
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