Individual
AMY OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1320 SE MAYNARD RD, STE 101, CARY, NC 27511-3625
(919) 656-2577
Mailing address
407 TRAPPERS RUN DR, CARY, NC 27513-4834
(919) 656-2577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004342
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133U7
BCBSNC
FL
Enumeration date
06/21/2006
Last updated
07/08/2007
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