| NPI | 1740657030 |
|---|---|
| Former Name | SHANNON RENEE COX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 9924020) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 60242) |
| 1041C0700X Social Worker, Clinical (Licence: CA 29242) | |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |