Individual
MELISSA V BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10376 AUTO MALL PKWY APT 2705, DIBERVILLE, MS 39540-3788
(601) 402-4394
Mailing address
10376 AUTO MALL PKWY APT 2705, DIBERVILLE, MS 39540-3788
(601) 402-4394
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12885
LA
104100000X
Social Worker
Primary
C11953
MS
Other
Enumeration date
10/24/2017
Last updated
07/21/2026
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