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Sangai B Cole, MSW

Contractor in Tucker, GA. Individual provider (NPI-1).

NPI number1083173736
StatusActive
Last updated in NPPESMar 12, 2019

Details

NPI
1083173736
Entity type
Individual (NPI-1)
Name
Sangai B Cole
Credential
MSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 12, 2019
Last updated
Mar 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X Contractor2019-2331GAYes

Practice location

3051 Shadow Walk Ln
Tucker, GA 30084-2140

Phone 678-697-3296

Mailing address

3051 Shadow Walk Ln
Tucker, GA 30084-2140

Phone 678-697-3296

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