Individual
TRAVIS DEAN BUTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10710 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-5021
(425) 349-8888
Mailing address
PO BOX 47877, OLYMPIA, WA 98504-7877
(360) 236-4700
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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