Individual
MRS. JENNIFER L MODI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
(404) 417-2965
Mailing address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
(404) 417-2965
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW 002475
GA
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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