Individual
COURTNEY FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1522 MORGAN ST, KEOKUK, IA 52632-4028
(319) 524-0510
Mailing address
1522 MORGAN ST, KEOKUK, IA 52632-4028
(319) 524-0510
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0278325
—
IA
Enumeration date
01/21/2019
Last updated
01/21/2019
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