Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alicia Marie Olson

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1639710593

Alicia Marie Olson is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Zimmerman, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2019
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Practice location Address checks out

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

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 1101018 (MN)

Record details

NPI number1639710593
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 2, 2019
Last updated in NPPESOctober 2, 2019
Mailing address25844 10th St W, Zimmerman, MN 55398-8796