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Individual

DR. LAUREN GRACE HANSEN BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
8570 GRANITE CT STE 101, FORT MYERS, FL 33908-4240
(352) 483-3769
Mailing address
1214 SHENANDOAH CT, MARCO ISLAND, FL 34145-5024
(630) 664-5516

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
20043121A
IN
103TC0700X
Clinical Psychologist
Primary
PY11758
FL

Other

Enumeration date
04/02/2015
Last updated
03/29/2023
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