Individual
LISA OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
8150 MADISON AVE, INDIANAPOLIS, IN 46227-6076
(317) 887-3290
Mailing address
4117 HAZY LN, GREENWOOD, IN 46142-7495
(812) 631-2572
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33009935A
IN
1041C0700X
Clinical Social Worker
Primary
34011207A
IN
Other
Enumeration date
01/12/2021
Last updated
09/03/2024
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