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Individual

MR. BRUCE IRVIN BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
613 16TH AVE, APT. 18, ALBANY, GA 31701-1123
(229) 395-8340
Mailing address
613 16TH AVE, APT. 18, ALBANY, GA 31701-1123
(229) 395-8340

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004218
GA

Other

Enumeration date
07/13/2007
Last updated
10/22/2010
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