Individual
DAVID L COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LPHA
Contact information
Practice address
12 W HARRISON ST, SULLIVAN, IL 61951-1907
(217) 728-4358
(217) 728-2270
Mailing address
PO BOX 163, 12 W. HARRISON, SULLIVAN, IL 61951-0163
(217) 728-4358
(217) 728-2270
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.011051
IL
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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