Individual
JILL C BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
6800 STATE ROUTE 162, MARYVILLE, IL 62062
(618) 465-0124
(618) 465-0130
Mailing address
12641 BLACKBERRY HILLS LN, MARION, IL 62959-6192
(618) 910-4052
(618) 964-9211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146003170
IL
235Z00000X
Speech-Language Pathologist
2000156442
MO
Other
Enumeration date
09/14/2006
Last updated
08/23/2018
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