Individual
MR. ROBERT MOTTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
2413 BRIXTON RD, EDMOND, OK 73034-3300
(781) 775-2521
Mailing address
2413 BRIXTON RD, EDMOND, OK 73034-3300
(781) 775-2521
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3375
OK
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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