RICHARD DERRICK SORENSEN

PROVO, UT
NPI1982953295
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  295219-3501)
Enumeration Date2012-08-31
Last Update Date2012-08-31
Business Address
-- RICHARD DERRICK SORENSEN L.C.S.W.
899 W 1150 S
PROVO, UT 84601-5421
Phone number: 801-836-9504
Mailing Address
-- RICHARD DERRICK SORENSEN L.C.S.W.
899 W 1150 S
PROVO, UT 84601-5421
Phone number: 801-836-9504
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