Individual
ETHAN EVAN EPPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LBP
Contact information
Practice address
1010 SW SHERIDAN RD, LAWTON, OK 73505-1531
(580) 585-6656
(580) 585-6657
Mailing address
1010 SW SHERIDAN RD, LAWTON, OK 73505-1531
(580) 585-6656
(580) 585-6657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0139
OK
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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