Individual
TRACY DENNIS SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 E 1300 N, LOGAN, UT 84341-2570
(435) 792-6491
Mailing address
655 E 1300 N, LOGAN, UT 84341-2570
(435) 792-6491
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
286011-6004
UT
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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