Individual
JESSICA MANTON COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(985) 705-5174
Mailing address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
099122
IA
1041C0700X
Clinical Social Worker
1726
NE
1041C0700X
Clinical Social Worker
Primary
5028
NE
Other
Enumeration date
10/01/2019
Last updated
12/22/2021
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