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Individual

ANGELA NOELLE SORENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
20 GILBERT AVE STE 101, SMITHTOWN, NY 11787-5312
(631) 327-2751
Mailing address
17 WILLIAMS BLVD APT 2E, LAKE GROVE, NY 11755-3503
(631) 327-2751

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
086218-1
NY

Other

Enumeration date
01/19/2019
Last updated
01/19/2019
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