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Individual

MS. CARISA NICOLE OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
11688 LAKE FOREST PKWY, CARMEL, IN 46033-7208
(317) 818-8166
(317) 818-8266
Mailing address
264 SUGAR BUSH LN S, BROWNSBURG, IN 46112-2000
(317) 748-7553

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003928A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12061474
NATIONAL ASSOC. #
IN
01
22003928A
STATE LICENSE #
IN
Enumeration date
04/06/2007
Last updated
07/08/2007
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