Individual
REBECCA L SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6520 67TH ST, KENOSHA, WI 53142-1403
(262) 358-4459
Mailing address
4822 85TH ST, KENOSHA, WI 53142-4836
(262) 865-8544
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9719-123
WI
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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