Individual
MS. JESSICA RANEE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
536 E 100 S, LOGAN, UT 84321-4742
(435) 753-3612
Mailing address
536 E 100 S, LOGAN, UT 84321-4742
(435) 753-3612
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
378453-3502
UT
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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