Individual
MELISSA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LICSW
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
47 WYOMING ST W, SAINT PAUL, MN 55107-3342
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30078
MN
Other
Enumeration date
11/11/2025
Last updated
11/19/2025
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