Individual
DANA ELIZABETH MODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
100 CUMMINGS CTR, BEVERLY, MA 01915-6115
(978) 922-0385
Mailing address
100 CUMMINGS CTR, BEVERLY, MA 01915-6115
(978) 922-0385
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2084
ZZ
Other
Enumeration date
11/24/2008
Last updated
02/22/2010
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