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Individual

AUDRA BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
116 LANE DR, TRINITY, NC 27370-9343
(336) 434-1706
Mailing address
601 FRIENDWAY RD APT 3T, GREENSBORO, NC 27410-6403

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9508
NC

Other

Enumeration date
11/21/2012
Last updated
11/21/2012
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