Individual
CAREY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 N BEECH ST # 2, TALLULAH, LA 71282-3809
(318) 493-5147
(318) 493-5147
Mailing address
1000 ASU DR # 523, LORMAN, MS 39096-7500
(601) 618-5017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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