Individual
DIANE SORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 N IZABEL ST, FLAGSTAFF, AZ 86004-3452
(928) 773-8220
(928) 773-8247
Mailing address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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