TRAVIS D SORENSON

SALT LAKE CITY, UT
NPI1396000873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  71071643501)
Enumeration Date2012-07-10
Last Update Date2012-07-10
Business Address
-- TRAVIS D SORENSON LCSW
650 KOMAS DR
SALT LAKE CITY, UT 84108-1215
Phone number: 801-587-3483
Mailing Address
-- TRAVIS D SORENSON LCSW
807 5TH AVE
SALT LAKE CITY, UT 84103-3516
Phone number: 801-361-0684
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