Individual
MS. MARY ALICE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2408 BEAVER AVE, DES MOINES, IA 50310-3984
(515) 274-4471
Mailing address
2420 BEAVER AVE, DES MOINES, IA 50310-3904
(515) 274-4471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00910
IA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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