Individual
DELANA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2330 SCENIC HWY S, SNELLVILLE, GA 30078
(678) 925-1734
Mailing address
30 SABLE CIR, COVINGTON, GA 30016-8179
(678) 925-1734
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004953
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW004953
LICENSE
GA
Enumeration date
11/12/2013
Last updated
07/30/2018
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