Provider Information for 1356089726
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JAMIE EPPERSON LICSW
Sex: Female
NPI: 1356089726
Last Updated: 2022-05-25
Certification Date: 2022-05-24
Certification Date: 2022-05-24
Details
Name | Value | ||||||||||||||
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NPI | 1356089726 | ||||||||||||||
Enumeration Date | 2022-05-25 | ||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||
Sole Proprietor | YES | ||||||||||||||
Status | Active | ||||||||||||||
Mailing Address | 27 OAK RIDGE DR PELHAM, AL 35124-1807 United States Phone: | Fax: | ||||||||||||||
Primary Practice Address | 27 OAK RIDGE DR PELHAM, AL 35124-1807 United States Phone: 205-746-9525 | Fax: | ||||||||||||||
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