Provider Information for 1235657073
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Mr. JAMES MICHAEL COLE MSW, LCSW
Sex: Male
NPI: 1235657073
Last Updated: 2021-03-03
Certification Date: 2021-03-03
Certification Date: 2021-03-03
Details
| Name | Value | ||||||||
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| NPI | 1235657073 | ||||||||
| Enumeration Date | 2017-08-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 200 HIGHWAY 2 W DEVILS LAKE, ND 58301-3532 United States Phone: 701-665-2200 | Fax: | ||||||||
| Primary Practice Address | 200 HIGHWAY 2 W DEVILS LAKE, ND 58301 United States Phone: 701-665-2200 | Fax: | ||||||||
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