Individual
CYNTHIA OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 3RD AVE SE, BARNESVILLE, MN 56514-3649
(218) 202-0012
Mailing address
PO BOX 267, BARNESVILLE, MN 56514-0267
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1008739
MN
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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