Individual
DARCY COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 N 3RD ST, CANON CITY, CO 81212-3259
(970) 903-5244
Mailing address
224 GREENWOOD AVE, CANON CITY, CO 81212-3242
(970) 903-5244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09925995
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000175609
—
CO
Enumeration date
07/11/2019
Last updated
02/24/2020
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