Provider Information for 1215571534
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SCOTT FRANCIS BUTLER Pd.D., LPC
Sex: Male
NPI: 1215571534
Last Updated: 2019-10-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1215571534 | ||||||||
| Enumeration Date | 2019-10-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 1465 BENTONVILLE, AR 72712-1465 United States Phone: 479-903-9106 | Fax: | ||||||||
| Primary Practice Address | 305 NW PALOMINO ST BENTONVILLE, AR 72712-6472 United States Phone: 479-903-9106 | Fax: | ||||||||
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