Individual
MICHAEL STEWART OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.CS.W.
Contact information
Practice address
361 E 1200 S, SUITE 201, OREM, UT 84058-6904
(801) 556-8368
(801) 224-4914
Mailing address
RR 3 BOX A2, PROVO, UT 84604-8901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
136916-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107001387101
INTRMTN. HEATH CARE
UT
01
—
13691635000001
BLUE CROSS
UT
01
—
261923
DESERT MUTUAL
UT
01
—
942938348113
UNKNOWN COMPANY
UT
01
—
9429383483480L1
EDUCATORS MUTUAL
UT
Enumeration date
01/25/2006
Last updated
01/31/2011
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