Individual
KATHY OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2134 BARNETT AVENUE, LITTLE HALL LOWER LEVEL, QUANTICO, VA 22134
(540) 729-8794
Mailing address
233 CHOPTANK RD, STAFFORD, VA 22556-6451
(540) 729-8794
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006548
VA
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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