Individual
MRS. KRISTIN MICHELLE OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3071 E FRANKLIN RD STE 201, MERIDIAN, ID 83642-2376
(208) 807-2877
(208) 807-2888
Mailing address
1075 N FALLING WATER WAY, EAGLE, ID 83616-5473
(208) 761-4845
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-40047
ID
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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