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Individual

MR. JEFFREY DARRELL BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA/CAS, NCSP

Contact information

Practice address
10100 FOXES WAY, KING GEORGE, VA 22485-3469
(540) 775-3535
Mailing address
10100 FOXES WAY, KING GEORGE, VA 22485-3469
(540) 775-3535

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000572
VA

Other

Enumeration date
01/18/2018
Last updated
01/18/2018
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