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Individual
KATHLEEN MARY BUTLER
Active
Individual
KATHLEEN MARY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
JTEGD21A850112781
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
NY
Enumeration date
02/09/2017
Last updated
05/21/2020
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