Individual
MS. TRACEY OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2017 N 7TH ST, PHOENIX, AZ 85006-2102
(602) 452-4697
Mailing address
2017 N 7TH ST, PHOENIX, AZ 85006-2102
(602) 452-4697
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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