Individual
LISA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6227 BAYBERRY DR, COLUMBUS, GA 31907-7373
(706) 405-5859
Mailing address
6227 BAYBERRY DR, COLUMBUS, GA 31907-7373
(706) 405-5859
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
CSW004880
GA
Other
Enumeration date
09/04/2008
Last updated
02/24/2023
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