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Individual

MRS. KATHARINE RHODES SORENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
KATHARINE SORENSON

Contact information

Practice address
7075 GOLDEN OAKS LOOP W STE 11, SOUTHAVEN, MS 38671-9012
(662) 349-9920
(662) 349-3988
Mailing address
7075 GOLDEN OAKS LOOP W STE 11, SOUTHAVEN, MS 38671-9012
(662) 349-9920
(662) 349-3988

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A2794
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04405367
MS
Enumeration date
04/04/2007
Last updated
07/08/2007
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