Individual
GAYLE OCTA BROWN OLSON
Active
Individual
GAYLE OCTA BROWN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1405
MN
1041C0700X
Clinical Social Worker
Primary
1405
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013861
PREFERRED ONE
—
01
—
111536
UCARE
—
01
—
577857300
MA
—
01
—
6209623
MEDICA
—
01
—
9H125BR
BCBS
—
Enumeration date
09/06/2006
Last updated
03/02/2021
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