Individual
LEIF OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1869 E SELTICE WAY STE 304, POST FALLS, ID 83854-7019
(509) 391-5655
Mailing address
1869 E SELTICE WAY STE 304, POST FALLS, ID 83854-7019
(509) 391-5655
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
09/27/2019
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