Individual
LISA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1605 E 50TH ST APT 10B, CHICAGO, IL 60615-6123
(773) 941-1291
Mailing address
1605 E 50TH ST APT 10B, CHICAGO, IL 60615-6123
(773) 941-1291
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150102386
IL
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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