Individual
LIBBY OVERLY
Active
Individual
LIBBY OVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11194
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11194
MARYLAND SOCIAL WORKERS LICENSE
MD
01
—
CSW004274
LICENSED CLINICAL SOCIAL WORKER
GA
Enumeration date
09/23/2008
Last updated
07/30/2011
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