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1104223510
NICHOLAS OLSEN
KENOSHA, WI
NPI
1104223510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WI 8919)
Enumeration Date
2014-12-01
Last Update Date
2023-06-20
Business Address
NICHOLAS OLSEN LCSW
6121 GREEN BAY RD STE 200
KENOSHA, WI 53142-2931
Phone number: 262-674-3718
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Mailing Address
NICHOLAS OLSEN LCSW
6121 GREEN BAY RD STE 200
KENOSHA, WI 53142-2931
Phone number: 262-674-3718
Copy
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