Individual
MR. BENJAMIN LEWIS COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4700
(509) 280-2338
Mailing address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4700
(509) 280-2338
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CG60847191
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/05/2018
Last updated
03/13/2020
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