Individual
MS. LAURIE J COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3810 HALEY CT, UNIT 7, COCOA, FL 32926-4265
(321) 960-9104
Mailing address
3810 HALEY CT, UNIT 7, COCOA, FL 32926-4265
(321) 960-9104
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629483706
ANGELS FOR KIDS ON CALL
FL
Enumeration date
05/11/2017
Last updated
05/11/2017
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