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1033800560
MONIQUE BAUTISTA
FONTANA, CA
NPI
1033800560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 115289)
Enumeration Date
2023-05-16
Last Update Date
2023-05-16
Business Address
MONIQUE BAUTISTA LCSW
6101 CHERRY AVE
FONTANA, CA 92336-5362
Phone number: 909-202-8361
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Mailing Address
MONIQUE BAUTISTA LCSW
5036 SNOWBERRY DR
FONTANA, CA 92336-0759
Phone number: 323-480-3177
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