Individual
SHAE OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8600 75TH ST, KENOSHA, WI 53142-8200
(262) 652-9430
Mailing address
360 E FOREST HILL AVE, OAK CREEK, WI 53154-3055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16316
WI
1041C0700X
Clinical Social Worker
Primary
8986
WI
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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