Organization
AMANDA OVERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA J OVERSON LCSW (COUNSELOR)
(480) 202-7962
Entity
Organization
Contact information
Practice address
4030 E WAGON CIR, GILBERT, AZ 85297-8394
(480) 202-7753
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
08/06/2015
Last updated
08/06/2015
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