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Organization
METASPACE COUNSELING PLLC
Active
Organization
METASPACE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEXIS N/A OVERSTREET LCSW, LCAS (CLINICAL SOCIAL WORKER)
(336) 392-0477
Entity
Organization
Contact information
Practice address
1400 OLD MILL CIR, WINSTON SALEM, NC 27103-2977
(336) 997-0408
Mailing address
2504 NEWINGTON CT, CLEMMONS, NC 27012-8673
(336) 392-0477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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