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Individual
SHONTAE ALEXIS COX
Active
Individual
SHONTAE ALEXIS COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005489001
—
WV
Enumeration date
06/30/2017
Last updated
02/06/2023
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