Individual
MRS. SUSAN MARIE MONTELLA-JELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
101 HIGGINSON AVE STE 107D, LINCOLN, RI 02865-2734
(508) 369-8904
Mailing address
101 HIGGINSON AVE STE 107D, LINCOLN, RI 02865-2734
(508) 369-8904
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00726
RI
Other
Enumeration date
10/16/2006
Last updated
09/18/2009
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