Individual
JOHNNIE MAE EPPERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-IPR
Contact information
Practice address
5019 VIKING CORAL, SAN ANTONIO, TX 78244-1671
(214) 232-4006
(210) 661-6705
Mailing address
PO BOX 424, CONVERSE, TX 78109-0424
(214) 232-4006
(210) 661-6705
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
28475
TX
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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