Individual
NICOLE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 HIGHWAY 7, ST LOUIS PARK, MN 55426-4223
(701) 516-4510
Mailing address
7010 HIGHWAY 7, ST LOUIS PARK, MN 55426-4223
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34348
MN
Other
Enumeration date
05/08/2018
Last updated
01/16/2019
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