Individual
MALISSA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
524 N WEST BLVD, VINELAND, NJ 08360-2845
(856) 405-4200
Mailing address
1773 E ELMER RD, VINELAND, NJ 08361-6517
(609) 501-1521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00842900
NJ
Other
Enumeration date
04/10/2016
Last updated
04/10/2016
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