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1326414707
PATRICE IVORY-BUTLER
SOUTH BEND, IN
NPI
1326414707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801098518)
Enumeration Date
2015-08-19
Last Update Date
2015-08-19
Business Address
-- PATRICE IVORY-BUTLER LLMSW
1615 N KENMORE ST
SOUTH BEND, IN 46628-4256
Phone number: 574-386-3374
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Mailing Address
-- PATRICE IVORY-BUTLER LLMSW
PO BOX 4256
SOUTH BEND, IN 46634-4256
Phone number: 574-386-3374
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