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NPI Code Detail

MEDICARE: KIMBERLEY CAROLYN EPPERSON LCSW

MEDICARE: KIMBERLEY CAROLYN EPPERSON LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker4407LA

General Provider Information

NPI Number : 1750685756
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLEY CAROLYN EPPERSON LCSW
Provider Business Mailing Address
First Line : 3340 SEVERN AVE
Second Line : SUITE 206
City : METAIRIE
State : LA
Zip : 70002-7407
Country : US
Telephone Number : 504-889-1448
Fax Number : 504-889-1452
Provider Business Practice Location Address
First Line : 3340 SEVERN AVE
Second Line : SUITE 206
City : METAIRIE
State : LA
Zip : 70002-7407
Country : US
Telephone Number : 504-889-1448
Fax Number : 504-889-1452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2011
Last Update Date : 05/16/2011

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Directions to “ KIMBERLEY CAROLYN EPPERSON LCSW” Practice Location

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