Individual
GLENNA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 CHURCH STREET, WATERBURY, CT 06702
(203) 755-1196
(203) 575-9675
Mailing address
270 GUINEVERE RIDGE, CHESHIRE, CT 06410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000702
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ANTHEM
14000702CT01
CT
01
—
BUTLE-0010
COMP CARE
CT
01
—
CIGNA
000702
CT
01
—
MHN
183821
CT
01
—
UBH
000702
CT
Enumeration date
10/03/2006
Last updated
07/08/2007
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