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1114523479
IRENE VICTORIA BAUTISTA
COMMACK, NY
NPI
1114523479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NY 014852)
Enumeration Date
2020-12-10
Last Update Date
2024-09-11
Business Address
IRENE VICTORIA BAUTISTA LMHC
368 VETERANS MEMORIAL HWY STE 3
COMMACK, NY 11725-4322
Phone number: 631-533-0315
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Mailing Address
IRENE VICTORIA BAUTISTA LMHC
368 VETERANS MEMORIAL HWY STE 3
COMMACK, NY 11725-4322
Phone number: 631-533-0315
Copy
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