Individual
COURTNEY COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119
(314) 301-4643
(314) 919-4850
Mailing address
330 N GORE AVE, SAINT LOUIS, MO 63119
(314) 301-4643
(314) 919-4850
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2016008241
MO
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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