Individual
ALISA RAE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5135 E POLK RD, LEXINGTON, IN 47138-8863
(812) 820-9643
Mailing address
5135 E POLK RD, LEXINGTON, IN 47138-8863
(812) 820-9643
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007858A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300029892
—
IN
Enumeration date
04/21/2018
Last updated
01/17/2020
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