Individual
MS. KATHIE LYNN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 LONGWOOD DR SW, HUNTSVILLE, AL 35801-4522
(256) 534-8161
(256) 534-7254
Mailing address
111 LONGWOOD DR SW, HUNTSVILLE, AL 35801-4522
(256) 534-8161
(256) 534-7254
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1467C
AL
104100000X
Social Worker
PIP-0519-1467C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467C
STATE OF ALABAMA BOARD OF SOCIAL WORK EXAMINERS
AL
01
—
PIP-0519-1467C
STATE OF ALABAMA BOARD OF SOCIAL WORK EXAMINERS
AL
Enumeration date
12/28/2010
Last updated
12/28/2010
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