Sorensen, Mary Jo
Sorensen, Mary Jo is an sole proprietor health care provider with primary practice located at 2661 County Highway I , Chippewa Falls WI 54729-5407. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Sorensen, Mary Jo can be contacted via phone (715) 723-5585.Contact Information
Primary practice address
2661 County Highway I
Chippewa Falls WI 54729-5407
Phone: (715) 723-5585
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 709-124 | Wisconsin |
Profile Details
| NPI number | 1154484020 |
|---|---|
| LBN Legal business name | Sorensen, Mary Jo |
| Credentials | MS, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Sep 14th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154484020 | NPPES |
| Wisconsin | MEDICAID | 41006500 |
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