Individual
PRISCILLA MOTA-WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
15 WARREN ST STE 20, HACKENSACK, NJ 07601-5436
(201) 205-1131
Mailing address
5212 HILLTOP CT, FORT LEE, NJ 07024-2213
(646) 408-2529
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06878900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SL06878900
NEW JERSEY DEPARTMENT OF PROFESSIONAL
NJ
Enumeration date
11/08/2022
Last updated
11/08/2022
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