Individual
BREANNA EPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
73018
CA
1041C0700X
Clinical Social Worker
39881
ID
1041C0700X
Clinical Social Worker
92355
CA
1041C0700X
Clinical Social Worker
Primary
LCSW-39881
ID
Other
Enumeration date
05/29/2019
Last updated
07/25/2022
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