Individual
SHAYLA M OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPS, CPPS
Contact information
Practice address
947 STEELE ST, DE SOTO, WI 54624-8647
(734) 790-3469
Mailing address
947 STEELE ST, DE SOTO, WI 54624-8647
(734) 790-3469
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
WI
175T00000X
Peer Specialist
Primary
—
WI
372500000X
Chore Provider
—
WI
372600000X
Adult Companion
—
WI
373H00000X
Day Training/Habilitation Specialist
—
WI
374U00000X
Home Health Aide
—
WI
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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