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Nancyjo Khantzian Modlish
School Social Worker in Andover, Massachusetts
NPI 1386128577

Nancyjo Khantzian Modlish is a School Social Worker based in Andover, MA and is specialized in School. Nancyjo Khantzian Modlish practices in Andover, MA. The NPI Number for Nancyjo Khantzian Modlish is 1386128577 and holds a License No. 1018849 (Massachusetts).

The current practice location address for Nancyjo Khantzian Modlish is 15 Bancroft Rd, Andover, MA and can be reached out via phone at 978-247-9500.

Location: 15 Bancroft Rd, Andover, MA, 01810-4119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386128577
Provider Name
Nancyjo Khantzian Modlish
Credential
Provider Entity Type
Individual
Gender
Female
Address
15 Bancroft Rd, Andover, MA, 01810-4119
Phone Number
978-247-9500
Fax Number
Provider Enumeration Date
09/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15 Bancroft Rd
City
Andover
State
Massachusetts
Zip
01810-4119
Phone Number
978-247-9500
Fax Number
person
Provider Business Mailing Address Details
Address
15 Bancroft Rd
City
Andover
State
Massachusetts
Zip
01810-4119
Phone Number
978-247-9500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
1041S0200X
License No.
1018849 (Massachusetts)
Definition
Definition to come...
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