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Individual
GERALD BUTLER
Active
Individual
GERALD BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC5753
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC6473
ME
Other
Enumeration date
08/24/2015
Last updated
09/20/2024
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