Individual
MS. CHRISTINE MOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 VAN VLECK ST, MONTCLAIR, NJ 07042-2325
(917) 826-7690
Mailing address
10 VAN VLECK ST, MONTCLAIR, NJ 07042-2325
(917) 826-7690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
071094-1
NY
1041C0700X
Clinical Social Worker
Primary
44SC05465700
NJ
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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