Individual
DEMETRIS YVETTE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
720 45TH ST, MUNSTER, IN 46321-2818
(219) 852-2513
(219) 852-2443
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008304A
IN
Other
Enumeration date
04/29/2019
Last updated
04/19/2023
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