Individual
PAUL R COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1 HUNTINGTON RD 704, ATHENS, GA 30606-7215
(706) 552-0706
(706) 552-0756
Mailing address
1 HUNTINGTON RD 704, ATHENS, GA 30606-7215
(706) 552-0706
(706) 552-0756
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001572
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304122478A
—
GA
05
—
304122478C
—
GA
05
—
304122478D
—
GA
Enumeration date
10/17/2006
Last updated
07/09/2015
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