Individual
DONNA D BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
11116 MEDICAL CAMPUS RD, SUITE 2989, HAGERSTOWN, MD 21742-6710
(301) 766-7600
(301) 766-7702
Mailing address
11116 MEDICAL CAMPUS RD, SUITE 2989, HAGERSTOWN, MD 21742-6710
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09626
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
614437-01
BCBS
MD
01
—
IP290467
MAGELLAN
MD
01
—
PHCS2236153
PHCS
MD
01
—
PVPB124623
APS HEALTHCARE
MD
Enumeration date
10/12/2006
Last updated
03/11/2011
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