Individual
DESTINY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 RIDGE DR, WEST MONROE, LA 71292-5888
(318) 600-4225
(318) 600-4228
Mailing address
1418 RIDGE DR, WEST MONROE, LA 71292-5888
(318) 600-4225
(318) 600-4228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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