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Individual

MARY MACKENZIE OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IBCLC, NBC-HWC

Contact information

Practice address
2833 15TH AVE SE, OLYMPIA, WA 98501-2708
(360) 402-2263
Mailing address
2833 15TH AVE SE, OLYMPIA, WA 98501-2708

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-302633
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/20/2021
Last updated
02/20/2021
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