Individual
MR. DANIEL ELDON SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
(435) 752-7433
Mailing address
3505 S HIGHWAY 89, WELLSVILLE, UT 84339-9748
(435) 787-8447
(435) 752-7433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
350423-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79919
PEHP
UT
Enumeration date
09/16/2006
Last updated
07/08/2007
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