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1265958102
EDDIE MOTTLEY
BENTON HARBOR, MI
NPI
1265958102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-08-22
Last Update Date
2022-07-21
Business Address
EDDIE MOTTLEY CADC
1485 M 139
BENTON HARBOR, MI 49022-5711
Phone number: 269-925-0585
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Mailing Address
EDDIE MOTTLEY CADC
1485 M 139
BENTON HARBOR, MI 49022-5711
Phone number: 269-925-0585
Copy
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