Provider Information for 1679571889
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SHARA BETH OVERBAY LCSW
Sex: Female
NPI: 1679571889
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1679571889 | ||||||||
| Enumeration Date | 2005-07-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | DEPARTMENT 888182 KNOXVILLE, TN 37995-0001 United States Phone: 800-355-3565 | Fax:423-714-2355 | ||||||||
| Primary Practice Address | 627 SMITHVIEW DR MARYVILLE, TN 37803-6100 United States Phone: 865-380-4390 | Fax:865-380-4396 | ||||||||
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