Provider Information for 1619151669
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Ms. SHIRLEY ANN BUTLER LCSW
Sex: Female
NPI: 1619151669
Last Updated: 2015-10-20
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1619151669 | ||||||||
| Enumeration Date | 2007-12-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 709 RONAN, MT 59864-0709 United States Phone: 406-546-7497 | Fax: | ||||||||
| Primary Practice Address | 223 7TH NWAVE RONAN, MT 59864-2218 United States Phone: 406-546-7497 | Fax: | ||||||||
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