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Individual

DONYELLE ALEAH BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
429 W AIRLINE HWY STE V, LA PLACE, LA 70068-3817
(985) 618-3403
Mailing address
429 W AIRLINE HWY STE V, LA PLACE, LA 70068-3817
(859) 618-3403
(985) 618-3404

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
010963236
LA
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/18/2019
Last updated
11/14/2020
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