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Individual

TIFFANY COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4701 N LOCUST ST, NORTH LITTLE ROCK, AR 72116-6485
(870) 761-1015
Mailing address
201 W BROADWAY ST STE H, NORTH LITTLE ROCK, AR 72114-5505
(870) 761-1015

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
202693795
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202693795
AR
Enumeration date
07/01/2014
Last updated
06/16/2023
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