Individual
AMBER D OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
710 N 8TH ST, SPRINGFIELD, IL 62702-6324
(217) 525-1064
(217) 525-1651
Mailing address
710 N 8TH ST, SPRINGFIELD, IL 62702-6324
(217) 525-1064
(217) 525-1651
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801086123
MI
1041C0700X
Clinical Social Worker
Primary
149010971
IL
Other
Enumeration date
11/23/2009
Last updated
07/02/2019
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