Individual
MR. MARK LOREN OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.F.T.
Contact information
Practice address
4300 BAKER RD, WATERTOWER PLACE, MINNETONKA, MN 55343-8600
(952) 936-9982
Mailing address
4300 BAKER ROAD, WATERTOWER PLACE, MINNETONKA, MN 55343
(952) 936-9982
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
310
MN
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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