Individual
LASHANNON SHERICA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 GLEN AUBURN DR, CLINTON, MS 39056-6051
(601) 919-6214
Mailing address
104 GLEN AUBURN DR, CLINTON, MS 39056-6051
(601) 919-6214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7706
MS
Other
Enumeration date
10/31/2018
Last updated
08/27/2024
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