Individual
LAURA CHARLENE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPS
Contact information
Practice address
1109 JONES ST, KENNETT, MO 63857-3824
(573) 888-5925
Mailing address
1109 JONES ST, KENNETT, MO 63857-3824
(573) 888-5925
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
16744
MO
Other
Enumeration date
06/22/2023
Last updated
09/23/2024
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