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Individual

DR. JAMES PETER MOTIFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1614 WALKER RD, FENNVILLE, MI 49408-9751
(269) 227-3761
Mailing address
1614 WALKER RD, FENNVILLE, MI 49408-9751
(269) 227-3761

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301002454
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6301002454
PSYCHOLOGIST LICENSE
MI
Enumeration date
10/04/2013
Last updated
10/04/2013
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