Individual
MS. NICKIE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
182 BEN BURTON CIR STE 200, BOGART, GA 30622-6848
(706) 224-6636
Mailing address
182 BEN BURTON CIR STE 200, BOGART, GA 30622-6848
(706) 224-6636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005839
GA
Other
Enumeration date
05/26/2015
Last updated
01/24/2023
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