Individual
KELLY OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 E MAIN ST # 215, LEHI, UT 84043-2293
(801) 768-1441
(801) 705-0333
Mailing address
770 E MAIN ST. #215, LEHI, UT 84043
(801) 768-1441
(801) 705-0333
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
02/17/2011
Last updated
05/03/2011
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