Individual
DANIEL LEE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
605 E WESTOVER ST, EAST TAWAS, MI 48730-1521
(989) 362-8636
Mailing address
605 E WESTOVER ST, EAST TAWAS, MI 48730-1521
(989) 362-8636
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301006312
MI
1041C0700X
Clinical Social Worker
6801062892
MI
Other
Enumeration date
02/27/2007
Last updated
03/20/2024
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