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Individual
DESTINY COLE
Active
Individual
DESTINY COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5400342614
—
IN
Enumeration date
10/06/2022
Last updated
10/06/2022
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