Individual
ANTHONY MARTIN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2864 MIDDLE ST STE 100, LITTLE CANADA, MN 55117-1411
(651) 493-2055
(651) 340-8632
Mailing address
45415 LAMPLIGHT DR, OTTERTAIL, MN 56571-9500
(646) 249-5031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29702
MN
1041C0700X
Clinical Social Worker
6072
ND
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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