Individual
MRS. STACIE RENEE COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, LCSW, LADAC
Contact information
Practice address
125 E PALACE AVENUE, SUITE 57, SANTA FE, NM 87501
(310) 339-6383
Mailing address
833 CALLE DAVID, SANTA FE, NM 87506
(310) 339-6383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCS23962
CA
1041C0700X
Clinical Social Worker
Primary
X-07641
NM
Other
Enumeration date
07/25/2007
Last updated
02/17/2012
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