Individual
SAMANTHA ANN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 N SHIAWASSEE ST, OWOSSO, MI 48867-2232
(989) 723-0330
Mailing address
PO BOX 289, MASON, MI 48854-0289
(517) 676-5405
(517) 676-5460
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451020906
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/10/2020
Last updated
08/05/2022
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