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NPI Code Detail

MEDICARE: GLYNIS GABRIEL BUTLER-STONE

MEDICARE: GLYNIS GABRIEL BUTLER-STONE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1295930469
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLYNIS GABRIEL BUTLER-STONE
Provider Business Mailing Address
First Line : 3555 AUBURN BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-2005
Country : US
Telephone Number : 916-482-2370
Fax Number : 916-482-0635
Provider Business Practice Location Address
First Line : 3555 AUBURN BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-2005
Country : US
Telephone Number : 916-482-2370
Fax Number : 916-482-0635
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2007
Last Update Date : 07/08/2007

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Directions to “ GLYNIS GABRIEL BUTLER-STONE ” Practice Location

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