Individual
LARISSA OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2423 MULLAN RD, MISSOULA, MT 59808-1827
(406) 499-2472
Mailing address
2423 MULLAN RD, MISSOULA, MT 59808-1827
(406) 499-2472
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
32069
MT
Other
Enumeration date
01/16/2019
Last updated
06/03/2022
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