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Individual

DEDRA BUTEYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-IT

Contact information

Practice address
626 E LONGVIEW DR, APPLETON, WI 54911-2130
(920) 215-0107
Mailing address
W5457 RED CLOVER TRL, APPLETON, WI 54915-7291
(920) 470-5407

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7067-226
WI

Other

Enumeration date
02/05/2024
Last updated
05/06/2026
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