Individual
COURTNEY BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
11217 N OAKWOOD DR UNIT 54, PEORIA, IL 61615-1039
(309) 712-4104
Mailing address
11217 N OAKWOOD DR UNIT 54, PEORIA, IL 61615-1039
(309) 712-4104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.015224
IL
1041S0200X
School Social Worker
1890232
IN
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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