Individual
DR. MARK DANIEL OLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
3712 BRAY CT, COLUMBIA, MO 65203-5337
(573) 445-4746
Mailing address
3712 BRAY CT, COLUMBIA, MO 65203-5337
(573) 445-4746
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
00212
IA
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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