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Tassie Richard Butts Valid NPI

Individual provider · Peer Specialist · Bowling Green, KY

NPI
1386457836
Type
Individual (Type 1)
Primary specialty
Peer Specialist
Specialty group
Other Service Providers
Taxonomy code
175T00000X
Sex
Male
Sole proprietor
No
Enumerated
2025-01-29
Last updated
2025-01-29
Practice location
428 Center St
Bowling Green, KY 42101-1223
(270) 901-5000

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