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1235253493
RICHARD BAUTISTA
NEW YORK, NY
NPI
1235253493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 018964)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
-- RICHARD BAUTISTA
651 ACADEMY ST
NEW YORK, NY 10034-5003
Phone number: 212-942-0043
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Mailing Address
-- RICHARD BAUTISTA
1001 JEROME AVE APT 5H
BRONX, NY 10452-5762
Phone number: 212-942-0043
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