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Individual

CASEY W BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
905 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 735-5118
(870) 735-5260
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A0707050
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
231083719
AR
Enumeration date
09/07/2007
Last updated
09/19/2024
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