Individual
JOAN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 926-2609
(518) 926-2666
Mailing address
39 WHITNEY RD S, SARATOGA SPRINGS, NY 12866-9636
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
003808-1
NY
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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