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Individual

SHONDRA A MOTLOCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
38538 APPLEWOOD ST, CLINTON TWP, MI 48036-1808
(586) 873-3651
Mailing address
38538 APPLEWOOD ST, CLINTON TWP, MI 48036-1808
(586) 873-3651

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401005652
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6401005652
APPLY FOR NPI
MI
Enumeration date
01/27/2023
Last updated
01/27/2023
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