Provider Information for 1588015390
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PEARL BUTLER LPC, MS
Sex: Female
NPI: 1588015390
Last Updated: 2024-05-28
Certification Date: 2024-05-28
Certification Date: 2024-05-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1588015390 | ||||||||
| Enumeration Date | 2016-06-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 45710 PHILADELPHIA, PA 19149-5710 United States Phone: 267-551-1852 | Fax: | ||||||||
| Primary Practice Address | PO BOX 45710 PHILADELPHIA, PA 19149-5710 United States Phone: 267-551-1852 | Fax: | ||||||||
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