Blake Butler
NPI #1003374984 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1003374984
- Entity Type
- Individual
- Name
- Blake Butler
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Mar 9, 2019
- Last Updated
- Mar 9, 2019
Practice Location
- Address
- 1513 LINE AVENUE
- Address 2
- SUITE 225
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71101
- Phone
- (318) 754-3890
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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