Individual
JESSICA OLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8719 S 113TH ST APT 101, SEATTLE, WA 98178-3300
(206) 556-7610
Mailing address
8719 S 113TH ST APT 101, SEATTLE, WA 98178-3300
(206) 556-7610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61349551
WA
390200000X
Student in an Organized Health Care Education/Training Program
CO60275619
WA
Other
Enumeration date
06/20/2016
Last updated
08/16/2023
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