Individual
MISS NERISSA IVY COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
301 DUNAND ST, LAFAYETTE, LA 70501-2215
(337) 470-3363
Mailing address
301 DUNAND ST, LAFAYETTE, LA 70501-2215
(337) 470-3363
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
6922
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760674717
—
LA
Enumeration date
10/14/2015
Last updated
10/14/2015
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