Individual
MRS. RENAE MARIE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10740 W FAIRVIEW AVE STE 100, BOISE, ID 83713-8050
(208) 376-0191
Mailing address
8263 W MARIGOLD ST, GARDEN CITY, ID 83714-1355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-45183
ID
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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