MRS. Susan Marie Montella-Jelley, L.I.C.S.W.

NPI #1104906395 in Lincoln, Rhode Island

Provider Information

NPI Number
1104906395
Entity Type
Individual
Name
MRS. Susan Marie Montella-Jelley, L.I.C.S.W.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
L.I.C.S.W.
Enumeration Date
Oct 16, 2006
Last Updated
Sep 18, 2009

Practice Location

Address
101 HIGGINSON AVE STE 107D
ZIP Code
02865-2734
Phone
(508) 369-8904

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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