FREDERICK MODER, LICSW
Social Worker - Clinical
Active
Individual
NPI: 1740220474
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 105191 (MA) |
Frequently Asked Questions
NPI 1740220474 is the National Provider Identifier for FREDERICK MODER, LICSW, a Social Worker - Clinical provider located in Wellesley, MA. This NPI was enumerated on June 8, 2006.
FREDERICK MODER, LICSW practices at 230 WORCESTER ST, Wellesley, MA 02481.
Quick Facts
- NPI
- 1740220474
- Type
- Individual
- Enumerated
- Jun 8, 2006
- Last Updated
- Mar 7, 2021
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