Individual
IAN BUTERBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
1434 PORTER ST, FREDERICK, MD 21702-9254
(301) 619-8096
Mailing address
700 GLEN ALLEN DR, BALTIMORE, MD 21229-1422
(717) 455-0377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24757
MD
1041C0700X
Clinical Social Worker
CW021182
PA
Other
Enumeration date
09/25/2017
Last updated
11/26/2024
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