Individual
MS. LAURYN OVERSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
110 LORRIE CT, FAYETTEVILLE, GA 30214-3807
(443) 477-7213
Mailing address
11 BUENA VISTA AVE, CAMBRIDGE, MD 21613-1109
(443) 477-7213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005850
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
774800100
—
MD
Enumeration date
11/25/2008
Last updated
01/31/2023
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