Individual
ANGELA MARIE OVERHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
700 S GREGORY ST STE A, URBANA, IL 61801-3622
(217) 351-4796
(217) 607-5432
Mailing address
1101 CLIFFORD DR APT 7, URBANA, IL 61802-6815
(217) 840-6476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.019395
IL
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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