Individual
PAMELA MARIE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
548 N LAKE AVE, PHILLIPS, WI 54555-1028
(715) 339-6453
(715) 339-6450
Mailing address
548 N LAKE AVE, PHILLIPS, WI 54555-1028
(715) 339-6453
(715) 339-6450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1865-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39762300
—
WI
Enumeration date
05/23/2008
Last updated
05/23/2008
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