Individual
SANGAI B COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3051 SHADOW WALK LN, TUCKER, GA 30084-2140
(678) 697-3296
Mailing address
3051 SHADOW WALK LN, TUCKER, GA 30084-2140
(678) 697-3296
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2019-2331
GA
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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