Individual
MARY OVERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
155 SEMINARY ROAD, OWENTON, KY 40359
(502) 484-3464
Mailing address
155 SEMINARY ROAD, OWENTON, KY 40359
(502) 484-3464
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5417
KY
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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