PATRICE IVORY-BUTLER

SOUTH BEND, IN
NPI1326414707
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801098518)
Enumeration Date2015-08-19
Last Update Date2015-08-19
Business Address
-- PATRICE IVORY-BUTLER LLMSW
1615 N KENMORE ST
SOUTH BEND, IN 46628-4256
Phone number: 574-386-3374
Mailing Address
-- PATRICE IVORY-BUTLER LLMSW
PO BOX 4256
SOUTH BEND, IN 46634-4256
Phone number: 574-386-3374