Modi, Jennifer L

Modi, Jennifer L is an individual health care provider with primary practice located at 1670 Clairmont Rd , Decatur GA 30033-4004. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Modi, Jennifer L can be contacted via phone (404) 321-6111.

Contact Information

Primary practice address
1670 Clairmont Rd Decatur GA 30033-4004
Phone: (404) 321-6111
Fax: (404) 417-2965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X MSW 002475 Georgia

Profile Details

NPI number 1396789178
LBN Legal business name Modi, Jennifer L
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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