Individual
MR. JOSEPH OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
2309 C ST SW, CEDAR RAPIDS, IA 52404-3707
(319) 365-9164
(319) 368-3358
Mailing address
2309 C ST SW, CEDAR RAPIDS, IA 52404-3707
(319) 365-9164
(319) 368-3358
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
03220
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03320
SOCIAL WORK LICENSE
IA
05
—
0427054
—
IA
Enumeration date
03/01/2007
Last updated
07/09/2007
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