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Individual
MS. MARY BUTLERBRANT
Active
Individual
MS. MARY BUTLERBRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA2591
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010732300
—
FL
Enumeration date
11/21/2012
Last updated
05/25/2015
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