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General NPI Number Information
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NPI Number | 1629738687
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Entity Type | Individual
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Provider Name | COURTNEY KENNEDY BUTLER LCSW, MPH, CPHQ
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Gender | Female
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Dates
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Enumeration Date | 12/17/2021
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 2800 DUPREE RD SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3205
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Country | US
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Telephone | 203-214-1479
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Fax |
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Provider Business Mailing Address
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Address Line | 2024 2ND AVE N UNIT 1501
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City | BIRMINGHAM
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State | AL
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Zip | 35203-3746
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Country | US
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Telephone | 203-214-1479
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 112868
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C015850
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801115819
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9368
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9546
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License Number State | CT
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