Provider Information for 1063729028
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Ms. LADONNA NICOLE BUTLER LMHC, CAP
Sex: Female
NPI: 1063729028
Last Updated: 2013-12-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1063729028 | ||||||||||||||||
| Enumeration Date | 2010-09-10 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 1437 S BELCHER RD CLEARWATER, FL 33764-2829 United States Phone: 727-524-4464 | Fax:727-210-6945 | ||||||||||||||||
| Primary Practice Address | 1437 S BELCHER RD CLEARWATER, FL 33764-2829 United States Phone: 727-524-4464 | Fax:727-210-6945 | ||||||||||||||||
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