Individual
CRYSTAL COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 W 2ND ST, SUMNER, IA 50674-1145
(319) 481-2296
Mailing address
PO BOX 92, MAYNARD, IA 50655-0092
(319) 481-2296
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
007278
IA
1041C0700X
Clinical Social Worker
Primary
007278
IA
Other
Enumeration date
10/25/2020
Last updated
01/19/2023
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