Individual
NICHOLAS OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6121 GREEN BAY RD STE 200, KENOSHA, WI 53142-2931
(262) 674-3718
Mailing address
6121 GREEN BAY RD STE 200, KENOSHA, WI 53142-2931
(262) 674-3718
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8919
WI
Other
Enumeration date
12/01/2014
Last updated
06/20/2023
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