Individual
RICHARD OVERTURF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8500
Mailing address
1362 WHISPER WAY, BENTON, IL 62812-1876
(618) 218-7352
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149023747
IL
Other
Enumeration date
03/04/2022
Last updated
09/11/2023
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