Individual
TERRI LASHUN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 AZALEA LOOP, CONWAY, AR 72032-8522
(501) 744-9115
Mailing address
PO BOX 56042, LITTLE ROCK, AR 72215-6042
(501) 744-9115
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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