Doctor Name: | MS. SANDRA SHERRI BUTLER |
NPI Number: | 1215036785 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 002193 |
Business Practice Address: | 11 Rocco Rd Bolton, CT - 06043 |
Business Phone Number: | 8606460077 |
Business Fax Number: | 8605331845 |
Mailing Address: | 11 Rocco Rd, BOLTON |
State: | CT |
Postal Code: | 06043 |
Phone Number: | 8606460077 |
Fax Number: | 8605331845 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 002193 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |