Individual
ALEXIS OVERSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
665 W 4TH ST, WINSTON SALEM, NC 27101-2701
(336) 725-8389
(336) 714-3395
Mailing address
2504 NEWINGTON CT, CLEMMONS, NC 27012-8673
(336) 392-0477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P009627
NC
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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