Individual
SAMUEL OVERLIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1212 8TH ST STE 3, BARABOO, WI 53913-1875
(608) 434-5145
Mailing address
1212 8TH ST STE 3, BARABOO, WI 53913-1875
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8157-123
WI
Other
Enumeration date
09/15/2014
Last updated
11/16/2020
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