Individual
MRS. CARISSA JEAN COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1112 NODAK DR S STE 200, FARGO, ND 58103-2366
(701) 280-9545
(701) 280-9520
Mailing address
5051 44TH AVE S APT 209, FARGO, ND 58104-4272
(218) 791-2865
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4035
ND
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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