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Individual
TRISHA MOTT
Active
Individual
TRISHA MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
55450
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107314000
IOWA PLAN
IA
Enumeration date
07/20/2007
Last updated
09/06/2011
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