Individual
KIM LEJUAN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 CIVIC CENTER BLVD, HOUMA, LA 70360-5937
(985) 879-3966
Mailing address
235 CIVIC CENTER BLVD, HOUMA, LA 70360-5937
(985) 879-3966
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
1891268876
LA
Other
Enumeration date
01/02/2019
Last updated
11/21/2024
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