Individual
DR. RYAN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 CREAMERY HILL RD, DALLAS CITY, IL 62330-1216
(217) 852-3204
Mailing address
921 CREAMERY HILL RD, DALLAS CITY, IL 62330-1216
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1810042
IL
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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