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Individual
MR. RICHARD OLSON
Active
Individual
MR. RICHARD OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149012156
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636966
BLUECROSS BLUESHIELD
IL
01
—
469951
VALUEOPTIONS
IL
01
—
600071671
MAGELLIAN
IL
Enumeration date
04/07/2007
Last updated
08/12/2019
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