Individual
HEATHER KISSINGER SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5534 MEDICAL CIR, MADISON, WI 53719-1202
(608) 274-0355
Mailing address
5534 MEDICAL CIR, MADISON, WI 53719-1202
(608) 274-0355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
20069
CA
1041C0700X
Clinical Social Worker
Primary
7842-123
WI
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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