Baroness B Butler, LCSW
Social Worker, Clinical in Petersburg, VA. Individual provider (NPI-1).
NPI number1164246609
StatusActive
Last updated in NPPESNov 12, 2024
Details
- NPI
- 1164246609
- Entity type
- Individual (NPI-1)
- Name
- Ms. Baroness B Butler
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 12, 2024
- Certification date
- Nov 12, 2024
- Last updated
- Nov 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904017033 | VA | Yes |
Practice location
1200 Harrison Creek Blvd Apt 5105Petersburg, VA 23803-4788
Phone 404-313-5104
Mailing address
1200 Harrison Creek Blvd Apt 5105Petersburg, VA 23803-4788
Phone 404-313-5104
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