GINA NICOLE BAX

WENTZVILLE, MO
NPI1811123995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: MO  2009010546)
Enumeration Date2009-06-03
Last Update Date2011-06-01
Business Address
-- GINA NICOLE BAX MSW, LCSW
261 BLESS US DR E
WENTZVILLE, MO 63385-2227
Phone number: 636-577-4607
Mailing Address
-- GINA NICOLE BAX MSW, LCSW
261 BLESS US DR E
WENTZVILLE, MO 63385-2227
Phone number: 636-577-4607
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