Individual
MS. JUDITH LEGGETT COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
403 PRINCETON RD, SUITE 2, JOHNSON CITY, TN 37601-2056
(423) 282-2073
Mailing address
403 PRINCETON RD, SUITE 2, JOHNSON CITY, TN 37601-2056
(423) 282-2073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IP434
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045309
BLUE CROSS BLUE SHIELD
TN
Enumeration date
08/22/2007
Last updated
08/22/2007
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