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Individual

OLIVER NOEL BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1230 SLAUGHTER RD STE F, MADISON, AL 35758-5901
(256) 666-0477
Mailing address
7115 PALE DAWN PL SE, OWENS CROSS ROADS, AL 35763-9074
(256) 323-1259

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB64890
AL

Other

Enumeration date
06/16/2021
Last updated
06/16/2021
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