Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | ASW68124 | CA |
NPI | 1003105594 |
---|---|
Provider Name | Mrs. Brieanna Cox |
First Address | Bakersfield, CA 93306-4018 |
Second Address | Bakersfield, CA 93306-4018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2011 |
Last Update Date | 16/10/2015 |