Individual
MISS DEVONNA NICOLE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
428 E 25TH ST, BALTIMORE, MD 21218-5304
(410) 617-0142
Mailing address
428 E 25TH ST, BALTIMORE, MD 21218-5304
(410) 617-0142
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21173
MD
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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