Individual
AMARI CARNISE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14840 SHEPARD DR, DOLTON, IL 60419-2467
(773) 449-0859
Mailing address
7808 S LAFLIN ST, CHICAGO, IL 60620-4149
(708) 629-5724
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
222Q00000X
Developmental Therapist
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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