Individual
MOLLIE G BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
29437 HWY 63, STE. 14, LIVINGSTON, LA 70754
(225) 283-1356
(225) 283-1705
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-1310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12637
LA
1041S0200X
School Social Worker
12637
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12637
LICENSURE
LA
Enumeration date
09/22/2015
Last updated
03/18/2019
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