Individual
MR. ALONZO JACKSON COLE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
53 COMMONS CT, PAWLEYS ISLAND, SC 29585-6301
(843) 235-9745
Mailing address
53 COMMONS CT, PAWLEYS ISLAND, SC 29585-6301
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-1487
SC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
2220
NC
Other
Enumeration date
06/30/2008
Last updated
06/15/2017
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