| Doctor Name: | MS. LARAINE KAY SORRELL |
| NPI Number: | 1487709051 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | 6801080202 |
| Business Practice Address: | 1152 Haslett Road Suite B Haslett, MI - 488409778 |
| Business Phone Number: | 5172309591 |
| Business Fax Number: | |
| Mailing Address: | Po Box 10, MASON |
| State: | MI |
| Postal Code: | 488540010 |
| Phone Number: | 5176769788 |
| Fax Number: | 8664622376 |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 12/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801080202 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |