Individual
BREONNA ANN OVERHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1751 E LONG ST, COLUMBUS, OH 43203-2045
(614) 253-8050
Mailing address
2000 NOBLE DR, WOOSTER, OH 44691-5353
(330) 264-3232
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1701454
OH
1041C0700X
Clinical Social Worker
S.1701454
OH
Other
Enumeration date
05/13/2019
Last updated
08/09/2022
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