Individual
CAROLYN J COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
404 W BROADWAY, ASTORIA, IL 61501-9633
(309) 313-3954
Mailing address
PO BOX 107, ASTORIA, IL 61501-0107
(309) 313-3954
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.019556
IL
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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