Most Relevant Information
Provider Data
| NPI Number: | 1003681818 |
| Provider Name: | SOPHIA ESPHAGEN LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | M10627 |
Most Important Dates
| Enumeration Date: | 11/21/2023 |
| Last Updated: | 11/21/2023 |
Provider Practice Location
15094 COUNTY BARN RD
GULFPORT
MS
395034200
Practice Location Phone/Fax
| Phone: | 2282135909 |
| Fax: | 2285755964 |
Provider Mailing Location
PO BOX 18679
HATTIESBURG
MS
394048679
Provider Mailing Phone/Fax
| Phone: | 6017051901 |
| Fax: |