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1265457428
TIMOTHY BUTLER
HOUMA, LA
NPI
1265457428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 663)
Enumeration Date
2006-07-12
Last Update Date
2013-03-08
Business Address
-- TIMOTHY BUTLER LAC
205 LAKE PENCHANT CT
HOUMA, LA 70360-8324
Phone number: 985-872-6769
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Mailing Address
-- TIMOTHY BUTLER LAC
205 LAKE PENCHANT CT
HOUMA, LA 70360-8324
Phone number: 985-872-6769
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