Shanise Butler, LGSW

NPI #1164198024 in Waldorf, Maryland

Provider Information

NPI Number: 1164198024
Entity Type: Individual
Name: Shanise Butler, LGSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LGSW
Enumeration Date: Aug 20, 2021
Last Updated: Aug 20, 2021

Practice Location

Address: 6100 RED SQUIRREL PL
City: Waldorf
State: Maryland
ZIP Code: 20603-4445
Phone: (225) 368-7795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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