Individual
SAMANTHA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
4332 RHODA DR, BATON ROUGE, LA 70816-4136
(225) 319-5586
Mailing address
4332 RHODA DR, BATON ROUGE, LA 70816-4136
(225) 319-5586
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13927
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2184997
—
LA
Enumeration date
09/12/2016
Last updated
09/12/2016
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