Individual
MARQUS JASON BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHRM BHRS
Contact information
Practice address
1140 NORTH HUDSON AVE, OKLAHOMA CITY, OK 73103
(405) 272-0660
Mailing address
105 SE 45TH ST, OKLAHOMA CITY, OK 73129-3201
(405) 632-1900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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