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1093251001
BERTHA ALICIA BAUTISTA
SAN DIEGO, CA
NPI
1093251001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 127869)
Enumeration Date
2017-01-13
Last Update Date
2024-06-05
Business Address
BERTHA ALICIA BAUTISTA LMFT
5555 RESERVOIR DR STE 309
SAN DIEGO, CA 92120-5193
Phone number: 619-622-5261
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Mailing Address
BERTHA ALICIA BAUTISTA LMFT
941 CALEB CT
SAN DIEGO, CA 92154-2306
Phone number: 619-622-5261
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