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Individual

ALICIA MARIE OLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
25844 10TH ST W, ZIMMERMAN, MN 55398-8796
(763) 202-9054
Mailing address
25844 10TH ST W, ZIMMERMAN, MN 55398-8796

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1101018
MN

Other

Enumeration date
10/02/2019
Last updated
10/02/2019
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