Individual
STEPHANIE OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 HUNTINGTON ST, HOLMEN, WI 54636-8826
(608) 769-3541
Mailing address
1112 HUNTINGTON ST, HOLMEN, WI 54636-8826
(608) 769-3541
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
046238
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046238
WISCONSIN DEPARTMENT OF INSTRUCTION LICENSE
WI
Enumeration date
12/06/2013
Last updated
12/06/2013
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