JORDAN MODIG

BOSTON, MA
NPI1730906546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  228332)
Enumeration Date2024-09-23
Last Update Date2024-09-23
Business Address
JORDAN MODIG
840 HARRISON AVE
BOSTON, MA 02118-2905
Phone number: 617-638-7147
Mailing Address
JORDAN MODIG
90 LAKE AVE
LEICESTER, MA 01524-1904
Phone number: 774-200-9614