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Individual

AUSTIN L SORENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
802 AVENUE E, ELY, NV 89301-2423
(775) 293-1558
(775) 375-0813
Mailing address
1020 AVENUE D, ELY, NV 89301-2407
(775) 293-1558
(775) 375-0813

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6171-C
NV
104100000X
Social Worker
PENDING
NV

Other

Enumeration date
06/12/2009
Last updated
04/29/2019
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