Individual
CANDICE EVETTA COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8790 MANCHESTER RD STE 205A, SAINT LOUIS, MO 63144-2707
(314) 898-6541
(314) 558-8448
Mailing address
8790 MANCHESTER RD STE 205A, SAINT LOUIS, MO 63144-2707
(314) 898-6541
(314) 558-8448
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3636-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033541347
—
MO
Enumeration date
04/13/2010
Last updated
04/22/2019
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