| Robert O Butler | |
|
1 Bodega Ave Petaluma CA 94952-2666 | |
| (707) 241-3003 | |
| Not Available |
| Full Name | Robert O Butler |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1 Bodega Ave, Petaluma, California |
| Authorized Official Name and Position | Robert O Butler (OWNER) |
| Authorized Official Contact | 7072413003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert O Butler 40 4th St # 224 Petaluma CA 94952-3040 Ph: (707) 241-3003 | Robert O Butler 1 Bodega Ave Petaluma CA 94952-2666 Ph: (707) 241-3003 |
| NPI Number | 1629964317 |
|---|---|
| Provider Enumeration Date | 06/17/2025 |
| Last Update Date | 06/20/2025 |
| Certification Date | 06/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629964317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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