Individual
TIFFANY M COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
702 MAIN ST, HOUSTON, TX 77002-3201
(800) 758-8011
Mailing address
702 MAIN ST, HOUSTON, TX 77002-3201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
61567
TX
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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