Individual provider · Type 1 NPI

Nancyjo Khantzian Modlish

School Social Worker · Andover, MA

NPI number 1386128577 Active

Practice location

15 Bancroft Rd
Andover, MA 01810-4119

Specialties and licenses

TaxonomyCodeLicense
School Social Worker Primary 1041S0200X1018849 (MA)

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About NPI 1386128577

Nancyjo Khantzian Modlish's National Provider Identifier is 1386128577, issued on Sep 24, 2018. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Andover, MA. The record was last updated on Sep 24, 2018.