Provider Demographics
NPI:1104447564
Name:OLIVIER, JANE E (BSW)
Entity type:Individual
Prefix:MRS
First Name:JANE
Middle Name:E
Last Name:OLIVIER
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MAYER RD
Mailing Address - Street 2:
Mailing Address - City:FRANKENMUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48734-1334
Mailing Address - Country:US
Mailing Address - Phone:989-652-4663
Mailing Address - Fax:
Practice Address - Street 1:100 MAYER RD
Practice Address - Street 2:
Practice Address - City:FRANKENMUTH
Practice Address - State:MI
Practice Address - Zip Code:48734-1334
Practice Address - Country:US
Practice Address - Phone:989-652-4663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802062617104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker