Most Relevant Information
Provider Data
| NPI Number: | 1003431958 |
| Provider Name: | SAMANTHA OLESON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LCSW82281 |
Most Important Dates
| Enumeration Date: | 06/16/2020 |
| Last Updated: | 06/16/2020 |
Provider Practice Location
677 E ROBERTS AVE
FRESNO
CA
937106244
Practice Location Phone/Fax
| Phone: | 5593557207 |
| Fax: |
Provider Mailing Location
677 E ROBERTS AVE
FRESNO
CA
937106244
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |