Individual
MR. MARK J OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
11708 WAYZATA BLVD, MINNETONKA, MN 55305-2014
(952) 544-0964
Mailing address
9700 W 16TH ST, ST LOUIS PARK, MN 55426-1816
(612) 836-7455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16377
MN
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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