Individual
ASHLEY REY BUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
770 W RIDGE RD, SUITE 220, WYTHEVILLE, VA 24382-1187
(276) 223-3202
(276) 546-8733
Mailing address
357 SHARITZ RD, WYTHEVILLE, VA 24382-4670
(276) 613-9208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005700
VA
1041C0700X
Clinical Social Worker
C005865
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598731853
—
VA
Enumeration date
02/27/2006
Last updated
10/07/2016
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