Individual
PATRICIA ELLEN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
423 GREAT OAK DR, WAITE PARK, MN 56387-2507
(320) 281-5305
Mailing address
891 BELSLY BLVD, MOORHEAD, MN 56560-5055
(701) 412-2973
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/02/2019
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