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Individual

MARISA BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
330 WESTERN BLVD, GLASTONBURY, CT 06033-4383
(625) 885-5792
Mailing address
126 POST OFFICE RD, ENFIELD, CT 06082-5628

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1676
CT

Other

Enumeration date
12/17/2018
Last updated
12/17/2018
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