Individual
JONLUC MOTTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
450 CLINTON ST, WOONSOCKET, RI 02895-3207
(401) 767-4100
Mailing address
450 CLINTON ST, WOONSOCKET, RI 02895-3207
(401) 767-4100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW04193
RI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/15/2021
Last updated
10/23/2024
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