Individual
DONNA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 420-6142
Mailing address
14 MIARA ST, PARLIN, NJ 08859-1816
(732) 727-3062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00183800
NJ
Other
Enumeration date
11/10/2013
Last updated
11/10/2013
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