Individual
JON BUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1260 N HIGHLAND AVE NE, ATLANTA, GA 30306-3350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW004349
GA
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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