Individual
AMANDA OVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4030 E WAGON CIR, GILBERT, AZ 85297-8394
(480) 202-7962
Mailing address
4030 E WAGON CIR, GILBERT, AZ 85297-8394
(480) 202-7962
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCSW 15186
AZ
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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