Individual
JENNIFER LYNN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH THERPAIST
Contact information
Practice address
748 BEECH ST, KENOVA, WV 25530-1506
(304) 453-2433
(304) 453-1205
Mailing address
748 BEECH ST, KENOVA, WV 25530-1506
(304) 453-2433
(304) 453-1205
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1047
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810012235
—
WV
Enumeration date
07/23/2008
Last updated
07/23/2008
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