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Individual

MARIA ANTONIETA SORENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M. C.

Contact information

Practice address
210 E COTTONWOOD LN, CASA GRANDE, AZ 85122-2514
(866) 836-1688
(520) 876-1796
Mailing address
5543 N PALO VERDE VISTA PL, TUCSON, AZ 85745-8610
(520) 235-0765

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 13664
AZ

Other

Enumeration date
12/06/2012
Last updated
12/06/2012
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