Individual
CORY COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, ACSW
Contact information
Practice address
2480 W CAMPUS DR, MT PLEASANT, MI 48858-5414
(989) 772-1609
(989) 953-4949
Mailing address
PO BOX 152, STANTON, MI 48888-0152
(989) 831-7264
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801046938
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174698336
—
MI
Enumeration date
05/15/2008
Last updated
08/19/2009
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