Individual
ELISE M COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
186 PATERSON AVE, 3RD FLOOR, EAST RUTHERFORD, NJ 07073-1837
(201) 939-3509
(201) 939-5059
Mailing address
479 MARLBORO RD, WOOD RIDGE, NJ 07075-1226
(201) 939-5059
(201) 939-5059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04838800
NJ
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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