Individual
CAROL BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3626 BALBOA ST, SAN FRANCISCO, CA 94121-2604
(415) 668-5955
Mailing address
11 WOODLAND AVE, SAN RAFAEL, CA 94901-5301
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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