Individual
EMMA GRACE OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6591
Mailing address
433 ARUNDEL DR, BRANDON, MS 39047-8106
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4908
MS
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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