Robert Mottola, MSW, LCSW Valid NPI
Individual provider · Clinical Social Worker · Edmond, OK
- NPI
- 1467742809
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 3375 (OK)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2011-04-18
- Last updated
- 2011-04-18
Practice location
2413 Brixton Rd
Edmond, OK 73034-3300
(781) 775-2521