Individual
MRS. ANTOINETTE MARIA MOTTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-8633
(612) 863-8516
Mailing address
1317 BIRCHVIEW DR, MAPLEWOOD, MN 55119-3164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
08/20/2007
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