Individual
BARBARA E. SEVERSON-OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, BCD
Contact information
Practice address
2200 BERGQUIST DR STE 1, ATTN CREDENTIALS CMC, LACKLAND A F B, TX 78236-9908
(210) 292-6707
Mailing address
2200 BERGQUIST DR STE 1, ATTN CREDENTIALS CMC, LACKLAND A F B, TX 78236-9908
(210) 292-6707
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
40761
TX
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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