Individual
LESLIE RENEE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1110 2ND AVE RM 304, NEW YORK, NY 10022-2021
(212) 777-6922
Mailing address
1110 2ND AVE RM 304, NEW YORK, NY 10022-2021
(212) 777-6922
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P100567
NY
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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