Richard Derrick Sorensen, L.C.S.W.

NPI #1982953295 in Provo, Utah

Provider Information

NPI Number: 1982953295
Entity Type: Individual
Name: Richard Derrick Sorensen, L.C.S.W.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: L.C.S.W.
Enumeration Date: Aug 31, 2012
Last Updated: Aug 31, 2012

Practice Location

Address: 899 W 1150 S
City: Provo
State: Utah
ZIP Code: 84601-5421
Phone: (801) 836-9504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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