Individual
MISS LORI LEE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
14015B SANFORD AVE, SUITE #2, FLUSHING, NY 11355-2557
(718) 358-8288
(718) 358-5265
Mailing address
140-15B SANFORD AVE, SUITE #2, FLUSHING, NY 11355
(718) 358-8288
(718) 358-5265
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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