Organization
SAMANTHA COLE LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA COLE LCSW (DIRECTOR)
(607) 354-4602
Entity
Organization
Contact information
Practice address
1004 STATE HIGHWAY 7 BLDG B, UNADILLA, NY 13849-3137
(607) 354-4602
(607) 215-4201
Mailing address
1004 STATE HIGHWAY 7 BLDG B, UNADILLA, NY 13849-3137
(607) 354-4602
(607) 215-4201
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
081663
NY
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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