Individual
JACE AXEL OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7610 E PALMER WASILLA HWY, PALMER, AK 99645-8467
(907) 903-7779
Mailing address
PO BOX 879388, WASILLA, AK 99687-9388
(907) 903-7779
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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