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Individual
KEITH COLES
Active
Individual
KEITH COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116233
NY
104100000X
Social Worker
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/26/2018
Last updated
03/14/2023
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