Individual
SHARICE MADGE SORENSON TAUFATOFUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
410 N 100 E, KOOSHAREM, UT 84744-7700
(435) 638-7318
Mailing address
PO BOX 440219, KOOSHAREM, UT 84744-0219
(435) 638-7318
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7474930-6004
UT
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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