Individual
BRIAN T BUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDIV, MSW, MA, LCSW
Contact information
Practice address
36 SOUTH ST, MANASQUAN, NJ 08736-3440
(732) 223-4673
Mailing address
36 SOUTH ST, MANASQUAN, NJ 08736-3440
(732) 223-4673
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05319800
NJ
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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