Individual
MARY ANN OVERSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4312
(505) 237-0061
Mailing address
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4312
(505) 237-0061
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-08466
NM
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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