Individual
DENNIS JAWAYNE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA,MHPP
Contact information
Practice address
1719 MERRILL DR, LITTLE ROCK, AR 72212-4009
(501) 663-2199
Mailing address
4619 W 11TH ST, LITTLE ROCK, AR 72204-1917
(501) 515-8516
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/11/2010
Last updated
10/31/2016
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