Individual
CARA M. COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1062 STATE ROUTE 38, OWEGO, NY 13827
(607) 687-4000
(607) 687-6396
Mailing address
1062 STATE ROUTE 38, PO BOX 177, OWEGO, NY 13827
(607) 687-4000
(607) 687-6396
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00618162
GROUP MEDICAID NUMBER
NY
01
—
39062A
GROUP MEDICARE NUMBER
—
Enumeration date
06/17/2009
Last updated
06/17/2009
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