Individual
ANTONISE COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6279 OXNARD CT, RICHTON PARK, IL 60471-3064
(773) 263-8834
Mailing address
6279 OXNARD CT, RICHTON PARK, IL 60471-3064
(773) 263-8834
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149020749
IL
1041S0200X
School Social Worker
2465288
IL
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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