Individual
MS. ELIZABETH SAMANTHA KOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6960 ORCHARD LAKE RD STE 100, WEST BLOOMFIELD, MI 48322-4523
(248) 648-3406
Mailing address
1006 HUMPHREY AVE, BIRMINGHAM, MI 48009-3642
(248) 444-1667
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801105598
MI
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
6801100998
MI
Other
Enumeration date
05/21/2017
Last updated
08/22/2022
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