Individual
SUSAN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 E WALNUT ST, SUITE 706, GREEN BAY, WI 54301-4239
(920) 437-8256
Mailing address
130 E WALNUT ST, SUITE 706, GREEN BAY, WI 54301-4239
(920) 437-8256
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3230-226
WI
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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