Individual
BELINDA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 JADE CT, LATTA, SC 29565-5263
(843) 774-6591
Mailing address
324 JADE CT, LATTA, SC 29565-5263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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