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Individual
MS. PATRICIA A BUTLER
Active
Individual
MS. PATRICIA A BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW/LMFT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00044
MN
106H00000X
Marriage & Family Therapist
00868
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00044
LICSW LICENSE
MN
Enumeration date
05/03/2013
Last updated
09/16/2013
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