MICHELLE MARTHA BAUTISTA

CHICAGO, IL
NPI1346441250
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.011952)
Enumeration Date2007-05-29
Last Update Date2021-09-28
Business Address
MICHELLE MARTHA BAUTISTA LCSW
917 W 18TH ST STE 219
CHICAGO, IL 60608-2400
Phone number: 773-480-3412
Mailing Address
MICHELLE MARTHA BAUTISTA LCSW
PO BOX 12454
CHICAGO, IL 60612-0454
Phone number: 773-480-3412
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