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General NPI Number Information
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NPI Number | 1548470255
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Entity Type | Individual
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Provider Name | MARIAN JONES BUTCHER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 557 EAST BROADWAY
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City | JACKSON
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State | WY
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Zip | 83001-3009
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Country | US
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Telephone | 307-733-7224
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Fax | 307-733-7224
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Provider Business Mailing Address
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Address Line | PO BOX 3009
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City | JACKSON
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State | WY
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Zip | 83001-3009
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Country | US
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Telephone | 307-733-7224
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Fax | 307-733-7224
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 144
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 144
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 144
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License Number State | WY
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Taxonomy #4
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 144
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License Number State | WY
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