Individual
ALIX SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 EAST 100 SOUTH, EPHRAIM, UT 84627-0000
(435) 283-5200
(435) 283-5200
Mailing address
PO BOX 461, EPHRAIM, UT 84627-0461
(435) 283-5200
(435) 283-5200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272503815
—
UT
Enumeration date
05/10/2012
Last updated
05/10/2012
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