Individual
TONYA SUZAUN SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 FIECHTNER DR S, FARGO, ND 58103-2358
(701) 293-3384
(651) 925-0057
Mailing address
510 4TH ST S, FARGO, ND 58103-1914
(701) 476-7200
(701) 280-5789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1586
ND
Other
Enumeration date
01/07/2010
Last updated
12/26/2017
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