Individual
DR. JAMES RUSSELL SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
323 COURT ST, PLYMOUTH, MA 02360-4322
(508) 747-2718
Mailing address
323 COURT ST, PLYMOUTH, MA 02360-4322
(508) 747-2718
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MA6195
MA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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