Individual
MR. FOY BUTCH GILLIAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1521 MERRILL DR STE E200, LITTLE ROCK, AR 72211-1821
(501) 660-6893
(501) 974-7798
Mailing address
PO BOX 251970, LITTLE ROCK, AR 72225-1970
(501) 666-8686
(501) 660-6830
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7908C
AR
Other
Enumeration date
01/07/2013
Last updated
03/03/2020
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