Individual
MS. MIRACLE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
14222 S BELL RD, HOMER GLEN, IL 60491-8122
(815) 390-7866
Mailing address
14222 S BELL RD, HOMER GLEN, IL 60491-8122
(815) 390-7866
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150108417
IL
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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