| Pamela J. Olson Lcsw, Caadc | |
|
9304 Horn Owl Ln Tobyhanna PA 18466-8152 | |
| (570) 894-2446 | |
| (570) 894-4511 |
| Full Name | Pamela J. Olson Lcsw, Caadc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9304 Horn Owl Ln, Tobyhanna, Pennsylvania |
| Authorized Official Name and Position | Pamela Jean Olson (SOLE PROPRIETOR) |
| Authorized Official Contact | 5708942446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela J. Olson Lcsw, Caadc 9304 Horn Owl Ln Tobyhanna PA 18466-8152 Ph: (570) 894-2446 | Pamela J. Olson Lcsw, Caadc 9304 Horn Owl Ln Tobyhanna PA 18466-8152 Ph: (570) 894-2446 |
| NPI Number | 1407239098 |
|---|---|
| Provider Enumeration Date | 07/01/2015 |
| Last Update Date | 07/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407239098 | NPI | - | NPPES |
| 1024232970001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW013922 (Pennsylvania) | Primary |
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