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1528461480
ANTWAN RAHEEM BUTLER
SHREVEPORT, LA
NPI
1528461480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 9084)
Enumeration Date
2014-10-06
Last Update Date
2014-10-06
Business Address
Mr. ANTWAN RAHEEM BUTLER LCSW-BACS
6808 JEFFERSON PAIGE RD
SHREVEPORT, LA 71119-3302
Phone number: 318-564-2208
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Mailing Address
Mr. ANTWAN RAHEEM BUTLER LCSW-BACS
6808 JEFFERSON PAIGE ROAD
SHREVEPORT, LA 71119
Phone number: 318-564-2208
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