Individual
MR. JED BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6 OVERTON CT, COLUMBUS, GA 31909-1778
(706) 577-5477
Mailing address
6 OVERTON CT, COLUMBUS, GA 31909-1778
(706) 577-5477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001376
GA
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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