Individual
FELECIA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 YOUREE DR STE 120, SHREVEPORT, LA 71104-3667
(318) 572-0360
Mailing address
PO BOX 29223, SHREVEPORT, LA 71149-9223
(318) 572-0360
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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