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NPI Code Detail

MEDICARE: MRS. JULIE ANN OLSON LMSW

MEDICARE:  MRS. JULIE ANN OLSON  LMSW
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 Worker6801096111MI

General Provider Information

NPI Number : 1578986162
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE ANN OLSON LMSW
Provider Business Mailing Address
First Line : 3491 HOLIDAY RD APT 203
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-6379
Country : US
Telephone Number : 231-714-4121
Fax Number :
Provider Business Practice Location Address
First Line : 3491 HOLIDAY RD APT 203
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-6379
Country : US
Telephone Number : 231-714-4121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2014
Last Update Date : 01/12/2026

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Directions to “ MRS. JULIE ANN OLSON LMSW” Practice Location

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