Individual
AMANDA MOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
1319 SARGENT AVE, SAINT PAUL, MN 55105-2722
(651) 587-2497
Mailing address
1319 SARGENT AVE, SAINT PAUL, MN 55105-2722
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MN
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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