MR. Mark Douglas Mottonen

NPI #1861653784 in S Salt Lake, Utah

Provider Information

NPI Number: 1861653784
Entity Type: Individual
Name: MR. Mark Douglas Mottonen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jun 23, 2008
Last Updated: Nov 30, 2021

Practice Location

Address: 451 BISHOP FEDERAL LN
City: S Salt Lake
State: Utah
ZIP Code: 84115-2357
Phone: (801) 487-7557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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