Individual
KELLY DEAN OLFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1875 S REDWOOD RD, SLC, UT 84104-5112
(801) 355-8246
Mailing address
1875 S REDWOOD RD, SLC, UT 84104-5112
(801) 355-8246
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/16/2023
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