Individual
MS. ANNA GRACE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
119 TUNNEL RD STE D, ASHEVILLE, NC 28805-1800
(888) 201-5086
Mailing address
816 FAIRALL DR, RALEIGH, NC 27607-6907
(919) 606-7026
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P016955
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P016955
—
NC
Enumeration date
10/28/2021
Last updated
10/28/2021
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