Individual
MRS. BRITT PROKOP OLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
28767 BAY SHORE DR NW, ISANTI, MN 55040-5942
(952) 111-4996
Mailing address
28767 BAY SHORE DR NW, ISANTI, MN 55040-5942
(218) 259-4646
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21322
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21322
MINNESOTA BOARD OF SOCIAL WORK
MN
Enumeration date
10/26/2017
Last updated
05/08/2022
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