Individual
CONSTANCE ANN OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1629 SIESTA DR, SARASOTA, FL 34239-5933
(941) 374-2273
Mailing address
5824 BEE RIDGE RD, 307, SARASOTA, FL 34233-5065
(941) 377-7622
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW7192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW7192
STATE LICENSE
FL
Enumeration date
09/10/2009
Last updated
09/10/2009
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