Individual
JULIE MARIE SORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.L.P.C.
Contact information
Practice address
1611 W CENTRE AVE STE 200, PORTAGE, MI 49024-5393
(269) 447-1480
Mailing address
1611 W CENTRE AVE STE 200, PORTAGE, MI 49024-5393
(269) 447-1480
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012480
MI
Other
Enumeration date
11/29/2012
Last updated
10/31/2014
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