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1174048920
PHILLIP CLIFTON SORENSON
PROVO, UT
NPI
1174048920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 10387129-3902)
Enumeration Date
2017-08-12
Last Update Date
2017-08-12
Business Address
PHILLIP CLIFTON SORENSON LMFT
580 E 600 S
PROVO, UT 84606-4806
Phone number: 801-852-3789
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Mailing Address
PHILLIP CLIFTON SORENSON LMFT
848 W 500 N
PROVO, UT 84601-2535
Phone number: 806-441-8736
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