Individual
DELORIS BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
365 W REED RD, GREENVILLE, MS 38701-6967
(662) 588-9411
Mailing address
PO BOX 239, GUNNISON, MS 38746-0239
(662) 588-9411
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
07/21/2022
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