Individual
MS. DIANA SUE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
VA MEDICAL CENTER, CORNER OF LAMONT AND WEST MARKET STREET, MT HOME, TN 37684
(423) 979-2634
Mailing address
100 WATERFORD CT, GRAY, TN 37615-2576
(276) 274-0479
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003690
VA
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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