Provider Demographics
NPI:1811619752
Name:COE, ACE ELIZABETH
Entity type:Individual
Prefix:
First Name:ACE
Middle Name:ELIZABETH
Last Name:COE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANNETTE
Other - Middle Name:ELIZABETH
Other - Last Name:COE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:14 BUSWELL ST APT 308
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-2949
Mailing Address - Country:US
Mailing Address - Phone:336-244-5620
Mailing Address - Fax:
Practice Address - Street 1:345 CROSS ST
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148
Practice Address - Country:US
Practice Address - Phone:781-322-9119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical