NPI 1639710593

Alicia Marie Olson

Practitioner Intellectual and/or Developmental Disabilities Residential Treatment Facility Zimmerman, MN

Practice location

Address: 25844 10th St W, Zimmerman, MN 55398-8796
Phone: (763) 202-9054

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 1101018 (MN)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Minnesota →

Registry record

NPI: 1639710593
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Oct 2019
Record last updated: 2 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.