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Individual

ASHLEY M OLSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
Mailing address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2236
SD
1041C0700X
Clinical Social Worker
870
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2236
SD LICENSE
SD
01
4993047
WELLMARK
SD
05
6571470
SD
01
9234333
DAKOTACARE
SD
Enumeration date
07/11/2007
Last updated
07/14/2016
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