Individual
LYNN SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
811 S HAMILTON ST, CHANDLER, AZ 85225-6308
(480) 344-6100
(480) 344-6101
Mailing address
4061 E DES MOINES ST, MESA, AZ 85205-6231
(480) 447-7073
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-15265
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
984595
—
AZ
Enumeration date
07/09/2010
Last updated
02/03/2020
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