| Ryan Cole | |
|
9 Elmwood Dr Windham ME 04062-5127 | |
| (207) 251-6908 | |
| Not Available |
| Full Name | Ryan Cole |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9 Elmwood Dr, Windham, Maine |
| Authorized Official Name and Position | Ryan Kera Cole (CLINICIAN) |
| Authorized Official Contact | 2072516908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Cole 9 Elmwood Dr Windham ME 04062-5127 Ph: (207) 251-6908 | Ryan Cole 9 Elmwood Dr Windham ME 04062-5127 Ph: (207) 251-6908 |
| NPI Number | 1053034702 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053034702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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