Individual
MALLORY BUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2508 WILLAKENZIE RD, EUGENE, OR 97401-4805
(503) 927-1179
Mailing address
1150 DARLENE LN APT 305, EUGENE, OR 97401-1103
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-1-225548
OR
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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