Individual
ELAINE LOOMIS OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1111 PURTOV ST., KODIAK, AK 99615
(907) 942-4633
Mailing address
1111 PURTOV ST, KODIAK, AK 99615-6295
(907) 942-4633
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/14/2017
Last updated
07/21/2022
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