Individual
ASHLEY BUTLER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 NICHOLS RD, FITCHBURG, MA 01420-1919
(978) 878-8440
Mailing address
275 NICHOLS RD, FITCHBURG, MA 01420-1919
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110028187A
—
MA
Enumeration date
10/02/2015
Last updated
12/11/2024
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