Most Relevant Information
Provider Data
| NPI Number: | 1003281247 |
| Provider Name: | KACEY BUTLER SWEATT |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/12/2015 |
| Last Updated: | 11/05/2016 |
Provider Practice Location
6650 RIVERS AVE STE 100
NORTH CHARLESTON
SC
294064809
Practice Location Phone/Fax
| Phone: | 9546037885 |
| Fax: |
Provider Mailing Location
500 FAIRWAY DR STE 102
DEERFIELD BEACH
FL
334411817
Provider Mailing Phone/Fax
| Phone: | 8888809270 |
| Fax: |