Individual
ALEX GENE SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19853 OUTER DR STE 110, DEARBORN, MI 48124-2044
(313) 406-5056
Mailing address
1554 GREGORY AVE, LINCOLN PARK, MI 48146-3510
(734) 778-9160
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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