Individual
MALCOLM BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
6955 S UNION PARK CTR STE 400, COTTONWOOD HEIGHTS, UT 84047-4192
(856) 275-5568
Mailing address
33 FENWICK DR, PENNS GROVE, NJ 08069-2546
(856) 275-5568
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
27779
MD
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/07/2022
Last updated
01/06/2025
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