Individual
ANNIE BUTLER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 W MAIN ST, HUGO, OK 74743-6053
(903) 401-1806
Mailing address
901 W MAIN ST, P.O. BOX 604, HUGO, OK 74743-6053
(903) 401-1806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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