Individual
JOHANNAH OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1500 E LINCOLN HWY STE 1, DEKALB, IL 60115-3990
(779) 201-8006
Mailing address
2584 ROBERT LN, MONTGOMERY, IL 60538-3352
(161) 255-8604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150105197
IL
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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