Individual
SOREN SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2549 N STOKESBERRY PL, MERIDIAN, ID 83646-1144
(312) 965-2997
(312) 386-6820
Mailing address
2549 N STOKESBERRY PL, MERIDIAN, ID 83646-1144
(312) 965-2997
(312) 386-6820
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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