| Modrell Clinical Services Llc | |
|
1201 Wakarusa Dr Ste E107 Lawrence KS 66049-3913 | |
| (913) 662-3627 | |
| Not Available |
| Full Name | Modrell Clinical Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1201 Wakarusa Dr Ste E107, Lawrence, Kansas |
| Authorized Official Name and Position | Justin Modrell (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9136623627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modrell Clinical Services Llc 1201 Wakarusa Dr Ste E107 Lawrence KS 66049-3913 Ph: (913) 662-3627 | Modrell Clinical Services Llc 1201 Wakarusa Dr Ste E107 Lawrence KS 66049-3913 Ph: (913) 662-3627 |
| NPI Number | 1396439345 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396439345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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