Individual
MRS. BERENICE S. LA MOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
142-10 SANFORD AVENUE, ANNEX 1, FLUSHING, NY 11355
(718) 463-4613
Mailing address
78 EVERGREEN AVE, BLOOMFIELD, NJ 07003-2339
(973) 429-9440
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05335400
NJ
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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