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Individual

MRS. SHAWNA SUE BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1021 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4672
(863) 686-1221
(863) 686-0981
Mailing address
2139 RAINBOWER CT, LAKELAND, FL 33810-8261
(863) 581-5000
(863) 686-0981

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
07/30/2010
Last updated
07/30/2010
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