Individual
KELLIE ANNE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
5030 HARRISON BLVD, OGDEN, UT 84403-4311
(801) 387-5780
Mailing address
5030 HARRISON BLVD, OGDEN, UT 84403-4311
(801) 387-5780
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
370761-3503
UT
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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