Individual
AMANDA RAE OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
740 MCKINLEY AVE, KELLOGG, ID 83837-2693
(208) 783-1267
Mailing address
204 OREGON ST, KELLOGG, ID 83837-5018
(208) 512-0733
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-37773
ID
1041C0700X
Clinical Social Worker
Primary
41308
ID
Other
Enumeration date
06/19/2018
Last updated
05/02/2025
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