Individual
MR. ANTWAN RAHEEM BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-BACS
Contact information
Practice address
6808 JEFFERSON PAIGE RD, SHREVEPORT, LA 71119-3302
(318) 564-2208
(318) 525-9007
Mailing address
6808 JEFFERSON PAIGE ROAD, SHREVEPORT, LA 71119
(318) 564-2208
(318) 525-9007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9084
LA
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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