Individual
JENNICA LOUISE OLAUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13388 S ROCKHOUSE CANYON TRL, VAIL, AZ 85641-0419
(909) 240-8255
Mailing address
13388 S ROCKHOUSE CANYON TRL, VAIL, AZ 85641-0419
(909) 240-8255
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA14015
AZ
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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