Individual
SUSAN OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Mailing address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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