Individual
MR. DONALD RENE MOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBSW QMHP QMRP
Contact information
Practice address
230 HURON AVE, PORT HURON, MI 48060-3822
(810) 966-4464
(810) 985-9448
Mailing address
230 HURON AVE, PORT HURON, MI 48060-3822
(810) 966-4464
(810) 985-9448
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801059421
MI
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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