Individual
MS. DENISE M BUTLER-MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
640 CENTRE ST, JAMAICA PLAIN, MA 02130-2555
(617) 983-4100
Mailing address
68 WELD HILL ST, JAMAICA PLAIN, MA 02130-4127
(617) 835-3458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1020947
MA
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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