Individual
RACHAEL COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 N UNION AVE, SHAWNEE, OK 74801-7067
(405) 592-9472
Mailing address
10 JARROT DR, SHAWNEE, OK 74801-7565
(405) 592-9472
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
04/28/2021
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