Individual
HENRIETTA BUTLER-SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 AUTUMN DR., BROWNSVILLE, TN 38012
(731) 612-2980
Mailing address
43 AUTUMN DR., BROWNSVILLE, TN 38012
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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