Individual
DESIREE SORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2052 HOGTOMMY ROAD, LAMOILLE, NV 89828-1859
(801) 367-2627
Mailing address
PO BOX 281859, LAMOILLE, NV 89828-1859
(801) 367-2627
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-2684
NV
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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