Individual
JESSICA LYNN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 258-7510
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 788-8993
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802088599
MI
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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