Individual
MR. COLE M GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
37 FRIEND ST, ELEMENT CARE INC, LYNN, MA 01902
(781) 581-7565
(617) 474-0757
Mailing address
37 FRIEND STREET, ELEMENT CARE INC, LYNN, MA 01902
(781) 715-6608
(781) 715-6699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214261
STATE LICENSE #
MA
Enumeration date
11/14/2006
Last updated
07/21/2022
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