Individual
CLAYTON J MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3285 FERGUSON ST SW, TUMWATER, WA 98512
(360) 943-1907
Mailing address
3285 FERGUSON STREET SW, TUMWATER, WA 98512
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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