Individual
ELIZABETH DAWN BUTLER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 SAGASSER ST, SOMERSET, KY 42501-1811
(859) 582-4974
Mailing address
105 SAGASSER ST, SOMERSET, KY 42501-1811
(859) 582-4974
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1207953
KY
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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