Individual
CASEY FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
420 COMMERCIAL AVE, DARRINGTON, WA 98241
(405) 420-8955
Mailing address
8825 34TH AVE NE STE L-143, QUIL CEDA VILLAGE, WA 98271-8085
(405) 420-8955
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7432
OK
1041C0700X
Clinical Social Worker
20376
OK
1041C0700X
Clinical Social Worker
Primary
61599556
WA
Other
Enumeration date
08/29/2022
Last updated
02/19/2025
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