Individual
MR. MARK DOUGLAS MOTTONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
451 BISHOP FEDERAL LN, S SALT LAKE, UT 84115-2357
(801) 487-7557
(801) 468-6838
Mailing address
451 BISHOP FEDERAL LN, S SALT LAKE, UT 84115-2357
(801) 487-7557
(801) 468-6838
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
139850-3501
UT
Other
Enumeration date
06/23/2008
Last updated
11/30/2021
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