Individual
KIRSTA OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
750 RIDGEVIEW DR, SUITE 103, ST GEORGE, UT 84770-2665
(435) 668-6892
Mailing address
750 RIDGEVIEW DR, SUITE 103, ST GEORGE, UT 84770-2665
(435) 668-6892
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7707532-3502
UT
Other
Enumeration date
05/30/2011
Last updated
05/30/2011
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