Individual
MR. LYNN DAVID OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1169 CALL CREEK DR STE B, POCATELLO, ID 83201-3077
(208) 232-7780
Mailing address
1169 CALL CREEK DR STE B, POCATELLO, ID 83201-3077
(208) 232-7780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 35511
ID
1041C0700X
Clinical Social Worker
LCSW 744
WY
Other
Enumeration date
07/21/2007
Last updated
07/05/2016
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