Gina Nicole Bax, MSW, LCSW
NPI #1811123995 in Wentzville, Missouri
Provider Information
- NPI Number
- 1811123995
- Entity Type
- Individual
- Name
- Gina Nicole Bax, MSW, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- MSW, LCSW
- Enumeration Date
- Jun 3, 2009
- Last Updated
- Jun 1, 2011
Practice Location
- Address
- 261 BLESS US DR E
- City
- Wentzville
- State
- Missouri
- ZIP Code
- 63385-2227
- Phone
- (636) 577-4607
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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