Individual
CONNIE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2625 MARTIN WAY EAST, SUITE A, OLYMPIA, WA 98506
(360) 352-5145
(360) 956-9004
Mailing address
5700 100TH ST SW, SUITE 330 PMB 247, LAKEWOOD, WA 98499-2752
(253) 238-5089
(360) 956-9004
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00016798
WA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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