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Individual

MS. MIRACLE HALLEL COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LSW

Contact information

Practice address
10201 S CICERO AVE STE F, OAK LAWN, IL 60453-4098
(708) 332-8735
Mailing address
9500 BORMET DR STE 304, MOKENA, IL 60448-8399
(708) 332-8735

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150108417
IL

Other

Enumeration date
06/05/2023
Last updated
06/05/2026
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