Individual
KIRSTEN J OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
531 S 29TH ST STE 1, FORT DODGE, IA 50501-5503
(515) 576-9220
Mailing address
410 MORTIMER AVE, CALLENDER, IA 50523-7701
(515) 408-3316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
007847
IA
1041C0700X
Clinical Social Worker
Primary
7847
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159608
—
IA
01
—
07466
WELLMARK BCBS
IA
Enumeration date
02/01/2012
Last updated
01/10/2023
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