Individual
MALLORY OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
312 W KNAPP ST STE B, RICE LAKE, WI 54868-1631
(715) 836-0064
(715) 836-0065
Mailing address
2620 STEIN BLVD STE B, EAU CLAIRE, WI 54701-2674
(715) 836-0064
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8006-226
WI
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
07/17/2023
Last updated
07/12/2024
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