Individual
GAYNOR L BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 CHAMBLEE TUCKER RD BLDG 16, ATLANTA, GA 30341-4148
(770) 939-1288
(770) 212-2203
Mailing address
2900 CHAMBLEE TUCKER RD BLDG 16, ATLANTA, GA 30341-4148
(770) 939-1288
(770) 212-2203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005515
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW005515
PROFESSIONAL LICENSE
GA
Enumeration date
01/07/2020
Last updated
01/07/2020
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