Individual
MRS. JEAN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
318 HILLCREST DR, DU BOIS, PA 15801-2342
(814) 375-8990
Mailing address
318 HILLCREST DR, DU BOIS, PA 15801-2342
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129868
PA
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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