Individual
MS. ANNE COLE
Active
Individual
MS. ANNE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
104479
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1895575
—
MA
01
—
735818
TUFTS HEALTH PLAN
MA
01
—
P02566
BCBS OF MA
MA
Enumeration date
11/13/2006
Last updated
06/10/2009
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