Individual
MS. THERESA GRACE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
Contact information
Practice address
1412 PETERMAN DR, SUITE A, ALEXANDRIA, LA 71301-3432
(318) 787-6805
(318) 787-6818
Mailing address
5802 CARL ST, ALEXANDRIA, LA 71301-2802
(318) 787-2283
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
937
LA
Other
Enumeration date
01/22/2007
Last updated
03/26/2012
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