Individual
JOHN NICHOLAS OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6800 FRANKLIN NE, RIO RANCHO, NM 87144-7647
(505) 338-2526
(505) 771-0956
Mailing address
1001 ALCAZAR ST NE, ALBUQUERQUE, NM 87110-7103
(904) 404-6026
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-10536
NM
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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