Organization
SOLOMON'S PROMISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE COLE LCSW (LICENSED SOCIAL WORKER)
(434) 774-6191
Entity
Organization
Contact information
Practice address
401 S HICKS ST, LAWRENCEVILLE, VA 23868-2115
(434) 774-6191
Mailing address
401 S HICKS ST, LAWRENCEVILLE, VA 23868-2115
(434) 774-6191
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904001968
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578526083
TYPE 1 NPI
VA
Enumeration date
12/14/2015
Last updated
12/14/2015
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