Individual
DR. ANNICE R.H. OVERALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, DSW
Contact information
Practice address
2561 SUNNY GLADE COVE, MEMPHIS, TN 38133
(901) 634-6522
(901) 634-6522
Mailing address
2561 SUNNY GLADE COVE, MEMPHIS, TN 38133
(901) 634-6522
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LSW0000003605
TN
1041S0200X
School Social Worker
6314574
TN
Other
Enumeration date
09/30/2017
Last updated
10/06/2017
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