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Organization

PROFESSIONAL SERVICES CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLARD PAUL OLESON LCSW (DIRECTOR)
(801) 621-3624
Entity
Organization

Contact information

Practice address
533 26TH ST, SUITE 102, OGDEN, UT 84401-2465
(801) 621-3624
Mailing address
533 26TH ST STE 102, OGDEN, UT 84401-2459
(801) 621-3624

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
16788
UT

Other

Enumeration date
03/21/2012
Last updated
03/21/2012
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