Individual
MS. TINA MARIE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
222 SAINT JOHN ST, SUITE 130, PORTLAND, ME 04102-3041
(207) 772-1211
(207) 772-1211
Mailing address
222 SAINT JOHN ST, SUITE 130, PORTLAND, ME 04102-3041
(207) 772-1211
(207) 772-1211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC7006
ME
Other
Enumeration date
05/04/2006
Last updated
05/27/2008
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