Individual
MARK R. OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
56 CHARLONATE DR, GRAY, ME 04039-9764
(207) 657-2203
(207) 657-2013
Mailing address
56 CHARLONATE DR, GRAY, ME 04039-9764
(207) 657-2203
(207) 657-2013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC1018
ME
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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