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Individual
MR. PAUL THEODORE OLSON
Active
Individual
MR. PAUL THEODORE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
L2003492
MI
1041C0700X
Clinical Social Worker
Primary
6801090228
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12511462
CAQH ID
MI
Enumeration date
03/07/2013
Last updated
02/13/2023
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