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NPI Code Detail

MEDICARE: ALEXIS DANIELLE OLSON MSW

MEDICARE:   ALEXIS DANIELLE OLSON  MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1366051328
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS DANIELLE OLSON MSW
Provider Business Mailing Address
First Line : 3609 AUSTIN BLUFFS PKWY STE 31
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-6658
Country : US
Telephone Number : 719-286-9437
Fax Number :
Provider Business Practice Location Address
First Line : 3609 AUSTIN BLUFFS PKWY STE 31
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-6658
Country : US
Telephone Number : 719-286-9437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2020
Last Update Date : 02/27/2023

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Directions to “ ALEXIS DANIELLE OLSON MSW” Practice Location

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