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Organization
WHASC
Active
Organization
WHASC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TILA WAN COLE LCSW-S (ADMINISTRATOR)
(210) 392-6483
Entity
Organization
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, LACKLAND AFB, TX 78236-5638
(210) 292-6255
(210) 292-7934
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, LACKLAND AFB, TX 78236-5638
(210) 292-6255
(210) 292-7934
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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