Individual
DOREEN E BUTTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 N MAIN ST, SUITE 210, BRISTOL, CT 06010-8122
(860) 314-2052
(860) 314-2054
Mailing address
PO BOX 2828, BRISTOL, CT 06011-2828
(860) 585-3906
(860) 585-3907
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1754
CT
1041C0700X
Clinical Social Worker
Primary
001754
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004196011
—
CT
Enumeration date
12/12/2005
Last updated
09/16/2013
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