Individual
ALECIA RAE JEPPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
730 CENTRAL AVE, TRACY, CA 95376-4104
(209) 820-1500
Mailing address
4464 LONE TREE WAY # 1069, ANTIOCH, CA 94531-7413
(209) 820-1500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
59242373501
UT
1041C0700X
Clinical Social Worker
Primary
LCS 26480
CA
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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