Individual
NATHAN LEE OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1105 SW 30TH CT, MOORE, OK 73160-2887
(844) 769-2960
Mailing address
1105 SW 30TH CT, MOORE, OK 73160-2887
(844) 769-2960
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
12325-C
AR
1041C0700X
Clinical Social Worker
Primary
21550
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/13/2021
Last updated
06/10/2025
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