KATHLEEN MODDERNO

LEXINGTON, MA
NPI1376037267
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  114205)
Enumeration Date2018-06-14
Last Update Date2018-06-14
Business Address
KATHLEEN MODDERNO LICSW
187 SPRING ST
LEXINGTON, MA 02421-8030
Phone number: 781-861-7081
Mailing Address
KATHLEEN MODDERNO LICSW
164 NEWTON ST APT 1
BRIGHTON, MA 02135-1545
Phone number: